Individual
DR. FARLEY K TUMBACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MONROE HWY STE 150, PINEVILLE, LA 71360-4294
(318) 640-3737
(318) 640-3740
Mailing address
3200 MONROE HWY STE 150, PINEVILLE, LA 71360-4294
(318) 640-3737
(318) 640-3740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09946 R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967742
—
LA
01
—
P00419417
RAILROAD MEDICARE
—
Enumeration date
03/23/2006
Last updated
02/13/2019
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