| Amy Furqueron, Llc | |
|
12464 Fm 848 Tyler TX 75707-5638 | |
| (903) 941-2769 | |
| Not Available |
| Full Name | Amy Furqueron, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12464 Fm 848, Tyler, Texas |
| Authorized Official Name and Position | Amy Furqueron (OWNER) |
| Authorized Official Contact | 9039412769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Furqueron, Llc 100 Independence Pl Ste 212 Tyler TX 75703-1327 Ph: (903) 941-2769 | Amy Furqueron, Llc 12464 Fm 848 Tyler TX 75707-5638 Ph: (903) 941-2769 |
| NPI Number | 1285186213 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285186213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 68228 (Texas) | Primary |
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