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Individual

GERALD LAVON FARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8050 E HIGHWAY 191 STE 210, ODESSA, TX 79765-8615
(432) 640-2790
(432) 640-4723
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2790
(432) 640-4723

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
P8664
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331144101
TX
Enumeration date
08/19/2006
Last updated
10/19/2017
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