Provider Demographics
NPI:1356383590
Name:FURSE, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:FURSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:SUITE1004
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-776-8011
Practice Address - Fax:713-776-8124
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8487207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114811608Medicaid
TX114811607Medicaid
TX114811609Medicaid
TX114811606Medicaid
TX114811604Medicaid
TX8R1594OtherBLUE CROSS OF TEXAS
TX114811610Medicaid
TXP00181867Medicare PIN
TX114811607Medicaid
TX8J4133Medicare PIN
TX8J0956Medicare PIN
TX114811608Medicaid
TX8D4785Medicare PIN
TX114811610Medicaid
TX8J8954Medicare PIN