Healthcare Provider Details

I. General information

NPI: 1932896453
Provider Name (Legal Business Name): FAREN FOLEY LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20019 LARKSPUR LNDG
RICHMOND TX
77407-7237
US

IV. Provider business mailing address

20019 LARKSPUR LNDG
RICHMOND TX
77407-7237
US

V. Phone/Fax

Practice location:
  • Phone: 832-487-5773
  • Fax:
Mailing address:
  • Phone: 832-487-5773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number99530
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: