Provider Demographics
NPI:1922239961
Name:GARNER, FELECIA INGRAM (MD)
Entity Type:Individual
Prefix:
First Name:FELECIA
Middle Name:INGRAM
Last Name:GARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WEST LOOP S STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9082
Mailing Address - Country:US
Mailing Address - Phone:877-504-8504
Mailing Address - Fax:855-420-6402
Practice Address - Street 1:1001 WEST LOOP S STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:877-504-8504
Practice Address - Fax:855-420-6402
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM93002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2098311085Medicaid
TX209831101Medicaid
TX8L24618Medicare PIN
TX209831101Medicaid