Demetrious Farrow in Oklahoma City - Surgical

Demetrious Farrow - NPI 1598754608

Demetrious Farrow is a Surgical in Oklahoma City, Oklahoma. Demetrious Farrow practices all healthcare services and medical treatments related to Surgical. The NPI Number for Demetrious Farrow is 1598754608. The last update date is 2011-06-07.

Demetrious Farrow's current location address is 4120 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057483300 and fax number 4057482920. The mailing address for Demetrious Farrow is 4120 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Demetrious Farrow
Address 4120 W Memorial Rd, Oklahoma City, Oklahoma
Phone Number 4057483300
Fax Number 4057482920
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1598754608
Provider Enumeration Date 2005-10-20
Last Updated Date 2011-06-07

Provider Mailing Address Detail

Address 4120 W Memorial Rd
City Oklahoma City
State Oklahoma (OK)
Post Code 731209322
Phone Number 4057483300
Fax Number 4057482920

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 1249
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200019520A OK --

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FAQs about Demetrious Farrow

What is the unique 10-digit identifier code issued to Demetrious Farrow by the Centers for Medicare & Medicaid Services?

The Demetrious Farrow has been assigned the NPI (National Provider Identifier) 1598754608 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Demetrious Farrow located?

The Demetrious Farrow is located at 4120 W Memorial Rd, Oklahoma City, OK 731209322.

What is Demetrious Farrow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Demetrious Farrow is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.

On what date did the Demetrious Farrow receive its 1598754608 assignment from the Centers for Medicare & Medicaid Services?

The Demetrious Farrow was assigned its 1598754608 by the Centers for Medicare & Medicaid Services on 2005-10-20.

When was the Demetrious Farrow's information last updated?

The Demetrious Farrow's information was last updated on 2011-06-07.

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