Provider Demographics
NPI:1609330901
Name:FELIX, REDD (COTA)
Entity Type:Individual
Prefix:MR
First Name:REDD
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:MR
Other - First Name:REDD
Other - Middle Name:
Other - Last Name:FELIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:23553 W FERNHURST DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0686
Mailing Address - Country:US
Mailing Address - Phone:281-394-1300
Mailing Address - Fax:
Practice Address - Street 1:23553 W FERNHURST DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0686
Practice Address - Country:US
Practice Address - Phone:281-394-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214827224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant