Provider Demographics
NPI:1023373545
Name:NEASMAN, FARLEY BERRY GRADEN III (MD)
Entity Type:Individual
Prefix:DR
First Name:FARLEY
Middle Name:BERRY GRADEN
Last Name:NEASMAN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1680 ANTILLEY RD
Mailing Address - Street 2:STE 270
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5247
Mailing Address - Country:US
Mailing Address - Phone:325-428-4790
Mailing Address - Fax:325-428-5855
Practice Address - Street 1:6200 REGIONAL PLZ STE 1675
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5260
Practice Address - Country:US
Practice Address - Phone:325-428-4790
Practice Address - Fax:325-428-5855
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2020-11-06
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Provider Licenses
StateLicense IDTaxonomies
TXS3029207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine