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Individual
SARAH FERGUSON
Active
Individual
SARAH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1789570-01
—
TX
01
—
8L13621
MEDICARE #
TX
Enumeration date
06/01/2006
Last updated
02/02/2015
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