| Doctor Name: | ELIZABETH FARREN |
| NPI Number: | 1164832143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 458446 |
| Business Practice Address: | 1 Medical Pkwy Plaza One Suite 140 Farmers Branch, TX - 752347841 |
| Business Phone Number: | 9724848444 |
| Business Fax Number: | |
| Mailing Address: | 1 Medical Pkwy, Plaza One Suite 140 FARMERS BRANCH |
| State: | TX |
| Postal Code: | 752347841 |
| Phone Number: | 9724848444 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2014 |
| NPI Last Update Date: | 04/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 458446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |