Healthcare Provider Details

I. General information

NPI: 1972360733
Provider Name (Legal Business Name): FARNSWORTH ORTHO HOBBS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 N FOWLER ST
HOBBS NM
88240-1958
US

IV. Provider business mailing address

2526 N FOWLER ST
HOBBS NM
88240-1958
US

V. Phone/Fax

Practice location:
  • Phone: 575-392-4509
  • Fax:
Mailing address:
  • Phone: 575-392-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID FARNSWORTH
Title or Position: PRESIDENT/OWNER
Credential: DDS, MS
Phone: 575-392-4509