Provider Demographics
NPI:1831222934
Name:FARNSWORTH, DOUGLAS J (DC)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:J
Last Name:FARNSWORTH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8367 PERRIN BEITEL RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1542
Mailing Address - Country:US
Mailing Address - Phone:210-653-3000
Mailing Address - Fax:210-653-4973
Practice Address - Street 1:8367 PERRIN BEITEL RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1542
Practice Address - Country:US
Practice Address - Phone:210-653-3000
Practice Address - Fax:210-653-4973
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor