Provider Demographics
NPI:1730414145
Name:FARLEY B. NEASMAN, II, MD, P.A.
Entity type:Organization
Organization Name:FARLEY B. NEASMAN, II, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARLEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:NEASMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:956-276-0144
Mailing Address - Street 1:2121 PEASE ST STE 407
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8338
Mailing Address - Country:US
Mailing Address - Phone:956-276-0144
Mailing Address - Fax:866-689-4246
Practice Address - Street 1:2121 PEASE ST STE 407
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8338
Practice Address - Country:US
Practice Address - Phone:956-276-0144
Practice Address - Fax:866-689-4246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-03
Last Update Date:2009-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0873207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty