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Individual

MATTHEW PAUL FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2475
(806) 743-1394
Mailing address
3601 4TH STREET STOP 9436, LUBBOCK, TX 79430
(806) 743-1703
(806) 743-1020

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
P7271
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
P7271
TX

Other

Enumeration date
04/13/2010
Last updated
11/16/2021
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