Physician Compare National (NPI:1184710253)

HEALTHCARE PROVIDER: GEARALD FARRIS DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184710253
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951565571
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120612000254
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FARRIS
	Individual professional last name
Provider First Name	GEARALD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3110 GILMER RD
	Group Practice or individual's line 1 address
City	LONGVIEW
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	756041439
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M