Organization
REBECCA A. FELICIANO, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA A. FELICIANO M.D. (PRESIDENT)
(405) 503-3107
Entity
Organization
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 272-6216
(405) 272-6927
Mailing address
PO BOX 12883, OKLAHOMA CITY, OK 73157-2883
(405) 858-0600
(404) 858-0602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13421
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100640320F
—
OK
01
—
546478285002
BCBS OF OKLAHOMA
OK
Enumeration date
11/29/2006
Last updated
08/21/2014
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