| Felicia Fortner | |
|
1012 San Jacinto Dr Irving TX 75063-8221 | |
| (972) 375-8268 | |
| Not Available |
| Full Name | Felicia Fortner |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1012 San Jacinto Dr, Irving, Texas |
| Authorized Official Name and Position | Felicia Fortner (THERAPIST) |
| Authorized Official Contact | 9723758268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Felicia Fortner 1012 San Jacinto Dr Irving TX 75063-8221 Ph: () - | Felicia Fortner 1012 San Jacinto Dr Irving TX 75063-8221 Ph: (972) 375-8268 |
| NPI Number | 1952654006 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952654006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 67702 (Texas) | Primary |
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