Provider Demographics
NPI:1932546835
Name:FARRAR FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FARRAR FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-964-7000
Mailing Address - Street 1:4152 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5314
Mailing Address - Country:US
Mailing Address - Phone:972-964-7000
Mailing Address - Fax:972-964-7005
Practice Address - Street 1:4152 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 116
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5314
Practice Address - Country:US
Practice Address - Phone:972-964-7000
Practice Address - Fax:972-964-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty