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Individual

AINSWORTH B FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6850 TPC DR STE 110, MCKINNEY, TX 75070-3145
(214) 544-9887
(214) 544-9888
Mailing address
PO BOX 2757, FRISCO, TX 75034-0051
(214) 544-9887
(214) 544-9888

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
057456
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
N2070
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214893401
TX
05
214893402
TX
05
214893403
TX
05
696884648A
GA
05
696884648B
GA
Enumeration date
05/23/2006
Last updated
07/10/2023
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