Provider Demographics
NPI:1760828636
Name:FARBER, LAURA (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:FARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12256
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79768-2256
Mailing Address - Country:US
Mailing Address - Phone:432-280-4008
Mailing Address - Fax:432-280-4028
Practice Address - Street 1:4222 WENDOVER AVE STE 800
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5915
Practice Address - Country:US
Practice Address - Phone:432-280-4008
Practice Address - Fax:432-280-4028
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2326207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology