Healthcare Provider Details
I. General information
NPI: 1902226210
Provider Name (Legal Business Name): FRANCIS FELICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2014
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6431 FANNIN ST STE MSB 5195
HOUSTON TX
77030-1501
US
IV. Provider business mailing address
6431 FANNIN ST STE MSB 5195
HOUSTON TX
77030-1501
US
V. Phone/Fax
- Phone: 713-500-6113
- Fax: 713-500-0528
- Phone: 713-500-6113
- Fax: 713-500-0528
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | BP10049541 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: