Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD00029623 | WA |
NPI | 1003825530 |
---|---|
Provider Name | Hector R Felix |
First Address | Yakima, WA 98902-3713 |
Second Address | Yakima, WA 98902-3713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 17/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8139644 | (05) | WA |
F21055 | (02) |