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Individual

RANDALL FARRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3142 HORIZON RD STE 100, ROCKWALL, TX 75032-7815
(817) 442-9300
Mailing address
3142 HORIZON RD STE 100, ROCKWALL, TX 75032-7815
(817) 442-9300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 03227
TX
363AS0400X
Surgical Physician Assistant
Primary
PA03227
TX

Other

Enumeration date
02/06/2007
Last updated
03/15/2022
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