Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 600 | NM |
Y | 103T00000X | Psychologist | 600 | NM |
NPI | 1003926163 |
---|---|
Provider Name | Dr. William Gary Mcfarland |
First Address | Tijeras, NM 87059-1861 |
Second Address | Albuquerque, NM 87110-4968 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N8328 | (05) | NM |