Individual
DR. BUCKMINSTER J FARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23920 KATY FWY STE 410, KATY, TX 77494-1341
(713) 772-1200
(281) 693-3522
Mailing address
13811 MURPHY RD, STAFFORD, TX 77477-4903
(713) 772-1200
(281) 693-3522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087546
—
TX
01
—
6735467
CIGNA
TX
01
—
9609281
AETNA
TX
01
—
P00954962
MEDICARE RR
TX
Enumeration date
09/13/2006
Last updated
06/14/2021
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