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NPI Code Detail

MEDICARE: DEREK A FARLEY DO

MEDICARE:   DEREK A FARLEY  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK6458TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851397277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK A FARLEY DO
Provider Business Mailing Address
First Line : 931 TOPAZ LN
Second Line :
City : OAK POINT
State : TX
Zip : 75068-2274
Country : US
Telephone Number : 972-292-3911
Fax Number : 972-292-3911
Provider Business Practice Location Address
First Line : 931 TOPAZ LN
Second Line :
City : OAK POINT
State : TX
Zip : 75068-2274
Country : US
Telephone Number : 972-292-3911
Fax Number : 972-292-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/22/2010

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Directions to “ DEREK A FARLEY DO” Practice Location

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