Individual
KRYSTLE R FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4405
(682) 885-4407
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P8482
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
P8482
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2011
Last updated
04/21/2021
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