Glen S Farris is a Physician Assistant in Jasper, Texas. Glen S Farris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glen S Farris is 1093781304. The last update date is 2007-07-09.
Glen S Farris's current location address is Rr 1 Box 42, Jasper, Texas. You can contact this provider via phone number 4093848089. The mailing address for Glen S Farris is Rr 1 Box 42, Jasper, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen S Farris |
|---|---|
| Address | Rr 1 Box 42, Jasper, Texas |
| Phone Number | 4093848089 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1093781304 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Rr 1 Box 42 |
|---|---|
| City | Jasper |
| State | Texas (TX) |
| Post Code | 759519801 |
| Phone Number | 4093848089 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00499 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0083GN | BCBS GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Glen S Farris by the Centers for Medicare & Medicaid Services (CMS)?
The Glen S Farris has been assigned the NPI (National Provider Identifier) 1093781304. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Glen S Farris is geographically located?
The Glen S Farris is physically situated at the following location: Rr 1 Box 42, Jasper, TX, 759519801.
What is Glen S Farris's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glen S Farris is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093781304 to Glen S Farris?
The Glen S Farris received its 1093781304 assignment from the Centers for Medicare & Medicaid Services on 2006-02-27.
As of what date were the details pertaining to Glen S Farris last refreshed?
The information related to the Glen S Farris, including its address, specialty, and other relevant details, was last updated on 2007-07-09.