Provider Demographics
NPI:1861401168
Name:FURMAN, ERIK JON (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JON
Last Name:FURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1910 W HENDERSON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4144
Mailing Address - Country:US
Mailing Address - Phone:817-556-2559
Mailing Address - Fax:817-556-0035
Practice Address - Street 1:1910 W HENDERSON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4144
Practice Address - Country:US
Practice Address - Phone:817-556-2559
Practice Address - Fax:817-556-0035
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK5297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150796401Medicaid
TX137383911Medicaid
TX8201B6Medicare PIN
G78226Medicare UPIN