Provider Demographics
NPI:1164645503
Name:FELDER, PATRICIA A (DC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:FELDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 DAWN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2864
Mailing Address - Country:US
Mailing Address - Phone:512-863-7000
Mailing Address - Fax:512-863-0066
Practice Address - Street 1:3007 DAWN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2864
Practice Address - Country:US
Practice Address - Phone:512-863-7000
Practice Address - Fax:512-863-0066
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4138111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician