Individual
TOMMIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-7690
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4372
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L2882
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
L2882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222280A
—
OK
01
—
112530101
FIRSTCARE COMMERCIAL
TX
05
—
112530102
—
TX
05
—
149118501
—
TX
05
—
149118502
—
TX
01
—
81199
PRESBYTERIAN COMMERCIAL
NM
05
—
81199
—
NM
01
—
87397Z
HMO BLUE
TX
01
—
88616Z
BLUE CROSS / BLUE SHIELD
TX
05
—
98102001
—
NM
01
—
B024
TRIWEST
NM
Enumeration date
08/16/2005
Last updated
05/13/2019
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