Provider Demographics
NPI:1275543274
Name:FARR, JAMES EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:FARR
Suffix:JR
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 1:1205 E MARSHALL AVE
Mailing Address - Street 2:VA MEDICAL CLINIC
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5649
Mailing Address - Country:US
Mailing Address - Phone:903-247-8262
Mailing Address - Fax:
Practice Address - Street 1:1205 E MARSHALL AVE
Practice Address - Street 2:VA MEDICAL CLINIC
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5649
Practice Address - Country:US
Practice Address - Phone:903-247-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2654207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease