Individual
CYNTHIA FELIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
4060 MEDICAL PARK DR, ODESSA, TX 79765-2233
(432) 582-2882
Mailing address
1301 OVERSHINE LN, MIDLAND, TX 79705-2240
(203) 470-6005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA18322
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003475336
—
CT
Enumeration date
01/16/2018
Last updated
09/25/2024
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