Provider Demographics
NPI:1568425254
Name:FELICI PEDIATRIC CLINIC, PLLC
Entity Type:Organization
Organization Name:FELICI PEDIATRIC CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-686-2229
Mailing Address - Street 1:6900 N 10TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3198
Mailing Address - Country:US
Mailing Address - Phone:956-686-2229
Mailing Address - Fax:956-686-2280
Practice Address - Street 1:6900 N 10TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3198
Practice Address - Country:US
Practice Address - Phone:956-686-2229
Practice Address - Fax:956-686-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080800801Medicaid