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Organization

WILBRUN EDWARD FURNISS II

Active
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Organization

WILBRUN EDWARD FURNISS II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILBRUN EDWARD FURNISS MD (MD)
(936) 564-2421
Entity
Organization

Contact information

Practice address
4800 NE STALLINGS DR STE 109, NACOGDOCHES, TX 75965-1250
(936) 564-2421
(936) 560-3462
Mailing address
4800 NE STALLINGS DR STE 109, NACOGDOCHES, TX 75965-1250
(936) 564-2421
(936) 560-3462

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D7575
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130945603
—
TX
Enumeration date
09/15/2010
Last updated
09/15/2010
About Stedi
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