Most Relevant Information
Provider Data
| NPI Number: | 1003049370 |
| Provider Name: | FELICIA FAGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2009 |
| Last Updated: | 09/03/2009 |
Provider Practice Location
1870 S BOULDER AVE
TULSA
OK
741195234
Practice Location Phone/Fax
| Phone: | 9185851213 |
| Fax: | 9185851263 |
Provider Mailing Location
1870 S BOULDER AVE
TULSA
OK
741195234
Provider Mailing Phone/Fax
| Phone: | 9185851213 |
| Fax: | 9185851263 |