Individual
BEVERLY L FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(903) 647-0860
Mailing address
12221 MERIT DR, STE 1500, DALLAS, TX 75251-5163
(903) 647-0860
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
722916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325623201
—
TX
05
—
325623202
—
TX
Enumeration date
02/23/2013
Last updated
05/22/2017
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