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Individual

DR. RICHARD WILLIAM FARNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4501 N MESA ST, EL PASO, TX 79912-6101
(915) 533-5600
(915) 533-5604
Mailing address
4501 N MESA ST, EL PASO, TX 79912-6101
(915) 533-5600
(915) 533-5604

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
M4059
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
M0459
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8BZ576
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/16/2005
Last updated
10/29/2021
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