| Feliz Family Medical Clinic Pllc | |
|
3109 6th Ave Fort Worth TX 76110-3800 | |
| (817) 923-7055 | |
| (817) 923-7902 |
| Full Name | Feliz Family Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3109 6th Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Seema Mottackal George (OWNER) |
| Authorized Official Contact | 9729659402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feliz Family Medical Clinic Pllc 200 Deer Creek Ln Sunnyvale TX 75182-3204 Ph: (972) 965-9402 | Feliz Family Medical Clinic Pllc 3109 6th Ave Fort Worth TX 76110-3800 Ph: (817) 923-7055 |
| NPI Number | 1013568914 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 09/23/2019 |
| Medicare PECOS PAC ID | 7214360213 |
|---|---|
| Medicare Enrollment ID | O20191205000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013568914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Seema M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568789865 PECOS PAC ID: 0547579765 Enrollment ID: I20151028002332 |
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