MEDICARE: DR. EARL MICHAEL TECSON FAMULARCANO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22781	WV
2	207Q00000X	Family Medicine Physician	35.146800	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407074867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EARL MICHAEL TECSON FAMULARCANO MD

Provider Business Mailing Address
First Line	:	3100 MACCORKLE AVE SE STE B-16
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1223
Country	:	US
Telephone Number	:	304-388-5848
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 HOSPITAL DR
Second Line	:	SUITE 306
City	:	HURRICANE
State	:	WV
Zip	:	25526-9237
Country	:	US
Telephone Number	:	304-397-5744
Fax Number	:	304-757-0964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	04/06/2026

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Directions to “ DR. EARL MICHAEL TECSON FAMULARCANO MD” Practice Location

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