Provider Demographics
NPI:1235218744
Name:ALEX, FELICIA E (PA)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:E
Last Name:ALEX
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2190 NORTH LOOP W STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8016
Mailing Address - Country:US
Mailing Address - Phone:281-206-9020
Mailing Address - Fax:281-206-9018
Practice Address - Street 1:6565 FANNIN ST STE 200D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-1087
Practice Address - Fax:713-793-1128
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-10-02
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Provider Licenses
StateLicense IDTaxonomies
TXPA00394363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R59542Medicare UPIN