Individual
DR. ELLA VIKTOROVNA FARRICIELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 N HIGHWAY 77, SUITE 200, WAXAHACHIE, TX 75165-1128
(972) 923-1686
(972) 937-7731
Mailing address
505 N HIGHWAY 77, SUITE 200, WAXAHACHIE, TX 75165-1128
(972) 923-1686
(972) 937-7731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7920
TX
207R00000X
Internal Medicine Physician
TRN10075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280059101
—
TX
01
—
8CR652
BCBSTX
TX
Enumeration date
10/12/2006
Last updated
03/21/2012
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