Organization
BRIAN G FARRELL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN G FARRELL CRNA (OWNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
401 W CAMPBELL RD, RICHARDSON, TX 75080-3416
(817) 294-7444
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
582332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122PU
BCBS
TX
Enumeration date
10/26/2006
Last updated
08/05/2008
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