Provider Demographics
NPI:1285061853
Name:DEAN, FELIX COLUMBUS (BHT)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:COLUMBUS
Last Name:DEAN
Suffix:
Gender:M
Credentials:BHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W DUNLAP AVE
Mailing Address - Street 2:241
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2834
Mailing Address - Country:US
Mailing Address - Phone:602-451-0796
Mailing Address - Fax:602-252-0830
Practice Address - Street 1:2323 W DUNLAP AVE
Practice Address - Street 2:241
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2834
Practice Address - Country:US
Practice Address - Phone:602-451-0796
Practice Address - Fax:602-252-0830
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other