Provider Demographics
NPI:1417642109
Name:CORONEL, FELIX ANTONIO
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:ANTONIO
Last Name:CORONEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 S DAIRY ASHFORD RD STE 407
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4859
Mailing Address - Country:US
Mailing Address - Phone:305-850-5486
Mailing Address - Fax:
Practice Address - Street 1:1880 S DAIRY ASHFORD RD STE 407
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4859
Practice Address - Country:US
Practice Address - Phone:305-850-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker