Provider Demographics
NPI:1730225756
Name:JILL B FARMAR MD PA
Entity type:Organization
Organization Name:JILL B FARMAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:B
Authorized Official - Last Name:FARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-981-3348
Mailing Address - Street 1:6300 W PARKER RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8100
Mailing Address - Country:US
Mailing Address - Phone:972-981-3348
Mailing Address - Fax:972-981-3435
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:SUITE 221
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:972-981-3348
Practice Address - Fax:972-981-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00091BF9Medicaid
TX0091BFMedicare ID - Type Unspecified