Individual
DR. ROGER LOUIS FARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG. 4554, JBSA LACKLAND AFB, TX 78236
(210) 292-0055
Mailing address
1100 WILFORD HALL LOOP, BLDG. 4554, JBSA LACKLAND AFB, TX 78236
(210) 228-7083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T4516
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2018
Last updated
11/21/2022
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