Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | MD468280 | PA |
Y | 2086S0102X | Surgical Critical Care | T3275 | TX |
N | 2086S0127X | Trauma Surgeon | MD468280 | PA |
NPI | 1124448972 |
---|---|
Provider Name | Drew Farmer |
First Address | Dallas, TX 75231-4481 |
Second Address | Dallas, TX 75231-4481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2014 |
Last Update Date | 06/10/2021 |