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Individual

MICHAEL KEITH FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
4200 SANTA OLIVIA ST, MISSION, TX 78572-8636
(956) 874-7854
Mailing address
4200 SANTA OLIVIA ST, MISSION, TX 78572-8636

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141639
TX

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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