Individual
MARYJANE A. FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5939 HARRY HINES BLVD, DALLAS, TX 75390-3720
(214) 645-5505
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(212) 305-7439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217712
NY
207R00000X
Internal Medicine Physician
61844
CT
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
217712
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
T2599
TX
207RC0000X
Cardiovascular Disease Physician
217712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02591413
—
NY
01
—
61844
CT STATE LICENSE
CT
Enumeration date
10/16/2006
Last updated
09/10/2021
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