Provider Demographics
NPI:1932896453
Name:FOLEY, FAREN (LM, CPM)
Entity Type:Individual
Prefix:
First Name:FAREN
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20019 LARKSPUR LNDG
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7237
Mailing Address - Country:US
Mailing Address - Phone:832-487-5773
Mailing Address - Fax:
Practice Address - Street 1:20019 LARKSPUR LNDG
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7237
Practice Address - Country:US
Practice Address - Phone:832-487-5773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99530176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty