Provider Demographics
NPI:1538603857
Name:ZEQUEIRA, FELIX M (LSA, SA-C)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:M
Last Name:ZEQUEIRA
Suffix:
Gender:M
Credentials:LSA, SA-C
Other - Prefix:
Other - First Name:FELIX
Other - Middle Name:MIGUEL
Other - Last Name:ZEQUEIRA DE LA HORRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSA, SA-C
Mailing Address - Street 1:23501 CINCO RANCH BLVD STE H120 #265
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3109
Mailing Address - Country:US
Mailing Address - Phone:786-515-7058
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST STE 1200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2726
Practice Address - Country:US
Practice Address - Phone:713-790-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00618363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical