Randolph Farley, CP
Prosthetist in San Antonio, TX. Individual provider (NPI-1).
NPI number1356610596
StatusActive
Last updated in NPPESDec 16, 2011
Details
- NPI
- 1356610596
- Entity type
- Individual (NPI-1)
- Name
- Randolph Farley
- Credential
- CP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2011
- Last updated
- Dec 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
Practice location
4319 Medical Dr Ste 106San Antonio, TX 78229-3325
Phone 210-614-9222 · Fax 210-914-9333
Mailing address
4319 Medical Dr Ste 106San Antonio, TX 78229-3325
Phone 210-614-9222 · Fax 210-914-9333
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