Individual
ANGEL FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3841 SAGEBRIAR DR, BRYAN, TX 77802-6107
(979) 985-9503
Mailing address
3842 SAGEBRIAR DR, BRYAN, TX 77842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75418
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/17/2021
Last updated
05/19/2022
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