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Individual

DR. KANDACE B. FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4320 WINDSOR CENTRE TRAIL, SUITE 300, FLOWER MOUND, TX 75028-1557
(972) 316-4448
Mailing address
4320 WINDSOR CENTRE TRAIL, SUITE 300, FLOWER MOUND, TX 75028-1557
(972) 316-4448

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5702
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186197301
TX
05
186197302
TX
Enumeration date
01/27/2006
Last updated
01/20/2009
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