Individual
DR. PHUONG-KHANH JESSICA FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HOSPITAL DR STE 101, CORSICANA, TX 75110-2489
(903) 641-3800
(903) 641-3812
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(903) 641-3800
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
Q0521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377991001
—
TX
01
—
8HK297
BCBSTX
TX
Enumeration date
04/20/2009
Last updated
08/02/2022
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