Basic Information
Provider Information
NPI: 1689962045
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELINSKI
FirstName: MELISSA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6431 FANNIN ST STE 4.156
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301501
CountryCode: US
TelephoneNumber: 7135007246
FaxNumber: 7133833708
Practice Location
Address1: 6700 WEST LOOP S STE 500
Address2:  
City: BELLAIRE
State: TX
PostalCode: 774014120
CountryCode: US
TelephoneNumber: 7138925500
FaxNumber: 7138710081
Other Information
ProviderEnumerationDate: 07/19/2011
LastUpdateDate: 11/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XQ7039TXY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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