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Individual

DR. ANGELA GREMILLION FERGUSON

Active
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Individual

DR. ANGELA GREMILLION FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A-1661-12
NM
207R00000X
Internal Medicine Physician
Primary
P7436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326015001
TX
05
83308539
NM
01
8DY748
BCBS TX
TX
01
960091100
FIRSTCARE
TX
Enumeration date
03/09/2009
Last updated
10/16/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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