Individual
DR. CARON ELIZABETH FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
3501 MILLS AVE, SETON MIND INSTITUTE, AUSTIN, TX 78731-6309
(512) 324-9999
(512) 324-2084
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N5048
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
N5048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217766901
—
TX
Enumeration date
07/17/2007
Last updated
01/18/2013
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