Healthcare Provider Details

I. General information

NPI: 1346223260
Provider Name (Legal Business Name): HAROLD G. FELTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 MCCULLOUGH AVE SUITE 300
SAN ANTONIO TX
78212-5609
US

IV. Provider business mailing address

8109 FREDERICKSBURG RD PHYSICIAN PRACTICE SERVICES
SAN ANTONIO TX
78229-3311
US

V. Phone/Fax

Practice location:
  • Phone: 210-271-7221
  • Fax:
Mailing address:
  • Phone: 210-271-3203
  • Fax: 210-733-6983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberF1000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: