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Individual
MICHAEL NICHOLAS FELICIANO
Active
Individual
MICHAEL NICHOLAS FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K2901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089970006
—
TX
05
—
089970007
—
TX
01
—
8DF228
BLUE CRISS BLUE SHIELD
TX
01
—
8DF229
BLUE CROSS BLUE SHIELD
TX
01
—
P01076168
RAILROAD MEDICARE
TX
01
—
P01076174
RAILROAD MEDICARE
TX
Enumeration date
12/28/2006
Last updated
10/09/2012
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