Provider Demographics
NPI:1134319411
Name:FARNSWORTH, NEIL NEUHOFF (MD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:NEUHOFF
Last Name:FARNSWORTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 BISSONNET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1508
Mailing Address - Country:US
Mailing Address - Phone:281-203-0600
Mailing Address - Fax:281-205-3505
Practice Address - Street 1:2132 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1508
Practice Address - Country:US
Practice Address - Phone:281-203-0600
Practice Address - Fax:281-205-3505
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6867207N00000X
IN01085593A207N00000X
LAMD.201852207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1079723Medicaid
LA1079723Medicaid
TX00TH000Medicare UPIN