Provider Demographics
NPI:1033449822
Name:NORTH FARMER, AME (LM)
Entity Type:Individual
Prefix:
First Name:AME
Middle Name:
Last Name:NORTH FARMER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 BINYON AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-1409
Mailing Address - Country:US
Mailing Address - Phone:817-703-7509
Mailing Address - Fax:817-336-7124
Practice Address - Street 1:3412 BINYON AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-1409
Practice Address - Country:US
Practice Address - Phone:817-703-7509
Practice Address - Fax:817-336-7124
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99091176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife