Individual
MR. JEFFREY E FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT, RDMS
Contact information
Practice address
325 GOLD ST, #100, GARLAND, TX 75042-6658
(972) 205-1144
(972) 205-1115
Mailing address
325 GOLD ST, #100, GARLAND, TX 75042-6658
(972) 205-1144
(972) 205-1115
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
7491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459902
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
07/17/2006
Last updated
07/08/2007
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