| David W Furr Llc | |
|
307 E Ray Fine Blvd Roland OK 74954-5160 | |
| (918) 427-3760 | |
| (918) 427-0081 |
| Full Name | David W Furr Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 307 E Ray Fine Blvd, Roland, Oklahoma |
| Authorized Official Name and Position | David Wayne Furr (PHYSICIAN OWNER) |
| Authorized Official Contact | 4794206618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David W Furr Llc Po Box 11407 Birmingham AL 35246-1555 Ph: (918) 427-3760 | David W Furr Llc 307 E Ray Fine Blvd Roland OK 74954-5160 Ph: (918) 427-3760 |
| NPI Number | 1902950116 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902950116 | NPI | - | NPPES |
| 100072520-C | Medicaid | OK | |
| 9R067 | Other | AR | BLUE CROSS BLUE SHIELD AR |
| 150957003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-3777 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | 3855 (Oklahoma) | Primary |
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