Healthcare Provider Details

I. General information

NPI: 1124448972
Provider Name (Legal Business Name): DREW FARMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2014
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S MAIN ST
FT WORTH TX
76104-4917
US

IV. Provider business mailing address

8230 WALNUT HILL LN STE 320
DALLAS TX
75231-4481
US

V. Phone/Fax

Practice location:
  • Phone: 817-702-1100
  • Fax:
Mailing address:
  • Phone: 214-369-5432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD468280
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD468280
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberT3275
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: