Provider Demographics
NPI:1053770263
Name:FURLOW, CASEY (FNP-C)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:FURLOW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:CARLISLE, CANNON, MEADOWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:5796 E SH-114
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052
Mailing Address - Country:US
Mailing Address - Phone:940-488-1770
Mailing Address - Fax:940-488-1771
Practice Address - Street 1:5796 E SH-114
Practice Address - Street 2:SUITE 1A
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052
Practice Address - Country:US
Practice Address - Phone:940-488-1770
Practice Address - Fax:940-488-1771
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP130210OtherNP LICENSE