# EDDY FURNISS, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750608832
- **Authorized official:** DR. WILBURN EDWARD FURNISS III M.D. (PHYSICIAN)
- **Authorized official phone:** (936) 559-0700

## Contact information

- **Practice address:** 4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1249
- **Practice address phone:** (936) 559-0700
- **Practice address fax:** (936) 559-0500
- **Mailing address:** 4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1249
- **Mailing address phone:** (936) 559-0700
- **Mailing address fax:** (936) 559-0500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | BP10028866 | TX | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 07/22/2010