MEDICARE: DR. JAIME FURMAN 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	207ZP0101X	Anatomic Pathology Physician	L2263	TX

General Provider Information

NPI Number	:	1497750681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIME FURMAN MD

Provider Business Mailing Address
First Line	:	9600 DATAPOINT DR
Second Line	:	STE 150
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2028
Country	:	US
Telephone Number	:	210-521-7700
Fax Number	:	210-521-7710

Provider Business Practice Location Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	STE 150
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3400
Country	:	US
Telephone Number	:	210-521-7700
Fax Number	:	210-521-7710

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	12/06/2016

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