Individual
GEARALD FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3110 GILMER RD, LONGVIEW, TX 75604
(903) 759-3651
(903) 759-3659
Mailing address
3110 GILMER RD, LONGVIEW, TX 75604
(903) 759-3651
(903) 759-3659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B06002685
—
TX
Enumeration date
10/05/2006
Last updated
07/08/2007
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