Provider Demographics
NPI:1962743682
Name:FARWELL, CHRISTOPHER A (ARNP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:FARWELL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 I -10 SERVICE RD
Mailing Address - Street 2:PECOS COUNTY MEMORIAL HOSPITAL
Mailing Address - City:FORT STOCKTON
Mailing Address - State:TX
Mailing Address - Zip Code:79735-2969
Mailing Address - Country:US
Mailing Address - Phone:432-336-2004
Mailing Address - Fax:
Practice Address - Street 1:387 INTERSTATE SERVICE RD
Practice Address - Street 2:PECOS COUNTY MEMORIAL HOSPITAL
Practice Address - City:FORT STOCKTON
Practice Address - State:TX
Practice Address - Zip Code:79735-2969
Practice Address - Country:US
Practice Address - Phone:432-336-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9373931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily