Individual
FELICITY L MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 PARK GROVE DR, KATY, TX 77450-1571
(413) 862-2563
(203) 493-8028
Mailing address
460 PARK GROVE DR, KATY, TX 77450-1571
(413) 862-2563
(203) 493-8028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P1564
TX
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4166548
—
TX
Enumeration date
06/16/2010
Last updated
06/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us