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Organization
GLORI E. FERGUSON
Active
Organization
GLORI E. FERGUSON
Active
Other names
Medical House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORI FERGUSON (NP/OWNER)
(432) 272-3215
Entity
Organization
Contact information
Practice address
1427 IDLEWOOD LN, ODESSA, TX 79761-3427
(432) 272-3215
Mailing address
1427 IDLEWOOD LN, ODESSA, TX 79761-3427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
632473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00631X
MEDICARE GROUP #
TX
01
—
1629059852
INDIVIDUAL NPI
TX
01
—
8C8266
PROVIDER #
—
Enumeration date
03/12/2008
Last updated
03/12/2008
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