Organization Name: | FELIZ CARE CENTERS PLLC |
NPI Number: | 1538533799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE F CARRAZCO (BILLING MANAGER) |
Mailing Address: | 1345 E Main St Ste 100 Mesa |
State: | AZ US |
Postal Code: | 852038950 |
Phone Number: | 4802643711 |
Fax Number: | 4802727580 |
NPI Enumeration Date: | 11/25/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |