Wilbrun Edward Furniss II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D7575 Issued in TX

Legal business name

WILBRUN EDWARD FURNISS II

Practice address

4800 NE Stallings Dr Ste 109
Nacogdoches, TX 75965-1250

Phone

(936) 564-2421

Fax

(936) 560-3462

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilbrun Edward Furniss, MD

Title

MD

Phone

(936) 564-2421

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1871801597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR STE 109",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651250",
            "telephone_number": "936-564-2421",
            "fax_number": "936-560-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR STE 109",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651250",
            "telephone_number": "936-564-2421",
            "fax_number": "936-560-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBRUN EDWARD FURNISS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "FURNISS",
        "authorized_official_first_name": "WILBRUN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "936-564-2421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130945603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathy Wilcox
• Carl Austin Willeford Jr., FNP-C
• Bailey Williams, MAT, LAT, ATC
• Brianna Williams
• Ciara Williams, FNP-C

• Family Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.