# FELIZ FAMILY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FELIZ FAMILY CARE, PLLC
- **Other names:** Feliz Care Centers PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780363754
- **Legal business name:** FELIZ FAMILY CARE, PLLC
- **Authorized official:** ROMAN CARRASCO (CEO)
- **Authorized official phone:** (480) 404-7158

## Contact information

- **Practice address:** 825 W SOUTHERN AVE STE 100, PHOENIX, AZ 85041-4720
- **Practice address phone:** (602) 243-3429
- **Mailing address:** 1345 E MAIN ST STE 100, MESA, AZ 85203-8950
- **Mailing address phone:** (480) 264-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 01/21/2024