Provider Demographics
NPI:1154315588
Name:CARRION, FELIX (PHD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:CARRION
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 RIO BRAVO ST STE 303
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1051
Mailing Address - Country:US
Mailing Address - Phone:915-540-1609
Mailing Address - Fax:915-351-6866
Practice Address - Street 1:4120 RIO BRAVO ST STE 303
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1051
Practice Address - Country:US
Practice Address - Phone:915-540-1609
Practice Address - Fax:915-351-6866
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31728103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0052JZOtherBCBS
TX162763002Medicaid