Feliz Family Medical Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FELIZ FAMILY MEDICAL CLINIC PLLC

Practice address

3109 6TH Ave
Fort Worth, TX 76110-3800

Phone

(817) 923-7055

Fax

(817) 923-7902

NPI assigned

Sep 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seema Mottackal George, FNPNPI 1568789865

Title

Owner

Phone

(972) 965-9402

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seema Mottackal George, FNP

  • Family Nurse Practitioner
  • Mesquite, TX
  • NPI 1568789865
  Medicare reassignment NPD Authorized official
• Gregory Bryan Cartwright, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1912957499
  NPD (past)
• Blessy Diney George, NP-C

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1598211658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1013568914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DEER CREEK LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823204",
            "telephone_number": "972-965-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "817-923-7055",
            "fax_number": "817-923-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIZ FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "MOTTACKAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-965-9402",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Federal Bureau of Prisons
• Hayes Fejer, PA-C
• Cristina Charisse Feliciano-Matos, PSY.D.
• Rebecca Ifeyinwa Felix-George, PHARM D
• Kristin Taylor Felix
• Kelly Felps, MD
• Janell Felton, BA
• Stephanie Felton, D.O.
• Bruce Feltrup-Exum, M.DIV, LMFT
• Patricia Sue Feltrup-Exum, LMFT

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.