Organization
WALTHAM CONSULTANTS PA
Active
Other names
DR. LORENZO M FAROLAN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO M FAROLAN MD (PRESIDENT)
(956) 687-2976
Entity
Organization
Contact information
Practice address
2616 CORNERSTONE BLVD, EDINBURG, TX 78539-9122
(956) 687-2976
(956) 994-1338
Mailing address
PO BOX 4470, MCALLEN, TX 78502-4470
(956) 687-2976
(956) 994-1338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143798001
—
TX
Enumeration date
08/20/2006
Last updated
08/30/2011
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