| NPI | 1750608832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBURN EDWARD FURNISS Physician 936-559-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10028866) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-07-22 |