Provider Demographics
NPI:1174572473
Name:HOWARD, FELICE H (MD)
Entity type:Individual
Prefix:
First Name:FELICE
Middle Name:H
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W WINDCREST ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4479
Mailing Address - Country:US
Mailing Address - Phone:830-997-2191
Mailing Address - Fax:830-997-9423
Practice Address - Street 1:205 W WINDCREST ST
Practice Address - Street 2:SUITE 310
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4479
Practice Address - Country:US
Practice Address - Phone:830-997-2191
Practice Address - Fax:830-997-8202
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1219207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046309302Medicaid
TX8A3035Medicare ID - Type Unspecified
TX046309302Medicaid