Individual
ERIC R FUTSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W COLLEGE ST STE 100, GRAPEVINE, TX 76051-3575
(817) 912-0442
(817) 329-5668
Mailing address
1600 W COLLEGE ST STE 100, GRAPEVINE, TX 76051-3575
(817) 912-0442
(817) 329-5668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160499301
—
TX
05
—
160499302
—
TX
Enumeration date
06/28/2006
Last updated
09/04/2019
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