Individual
KEVIN P O'FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD # 300, AUSTIN, TX 78731-3166
(512) 344-0368
(512) 344-0335
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K7072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020040564
—
TX
05
—
040536701
—
TX
05
—
040536702
—
TX
05
—
040536703
—
TX
Enumeration date
07/31/2006
Last updated
05/20/2021
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