Provider Demographics
NPI:1598201873
Name:FARR-GALLOWAY, OTES CYNTHIA (RN)
Entity Type:Individual
Prefix:
First Name:OTES
Middle Name:CYNTHIA
Last Name:FARR-GALLOWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 N KANSAS ST STE 700
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1410
Mailing Address - Country:US
Mailing Address - Phone:915-588-8949
Mailing Address - Fax:
Practice Address - Street 1:222 N KANSAS ST STE 700
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1410
Practice Address - Country:US
Practice Address - Phone:915-588-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX770495163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool