MEDICARE: REBECCA IFEYINWA FELIX-GEORGE PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	053985	NY
2	183500000X	Pharmacist	45694	TX

General Provider Information

NPI Number	:	1609394600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA IFEYINWA FELIX-GEORGE PHARM D

Provider Business Mailing Address
First Line	:	12450 TIMBERLAND BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5554
Country	:	US
Telephone Number	:	817-431-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	12450 TIMBERLAND BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5554
Country	:	US
Telephone Number	:	817-431-8330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	09/08/2025

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