Organization Active NPI

Farley Medical Specialists

  • Family Medicine Physician
  • Montgomery, TX
National Provider Identifier
1124201306
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8025 Issued in TX
Legal business name
FARLEY MEDICAL SPECIALISTS
Practice address
18059 Highway 105 W
Ste 125
Montgomery, TX 77356-5000
Phone
(936) 582-6622
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer L Conley
Title
Billing
Phone
(936) 582-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H8025 TX Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X H8031 TX

Addresses

Primary practice location

18059 Highway 105 W
Ste 125
Montgomery, TX 77356-5000

Mailing address

18059 Highway 105 W
Ste 125
Montgomery, TX 77356-5000
Phone (936) 582-6622

National Provider Directory

National Provider Directory

Locations

18059 Highway 105 W
Ste 125
Montgomery, TX 77356
Phone (936) 449-8058

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1124201306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18059 HIGHWAY 105 W",
            "address_2": "STE 125",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565000",
            "telephone_number": "936-582-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18059 HIGHWAY 105 W",
            "address_2": "STE 125",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565000",
            "telephone_number": "936-582-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARLEY MEDICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "936-582-6622"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8025",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H8031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.