NPI 1407439557

Mary Farrar

Practitioner Licensed Practical Nurse Tyler, TX

Practice location

Address: 755 S Beckham Ave, Tyler, TX 75701-1903
Phone: (903) 534-4684

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 123086 (AR)

Other Licensed Practical Nurse providers in Texas →

Registry record

NPI: 1407439557
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2021
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.