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Individual

JOHN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10713 N RR 620 RD STE 513, AUSTIN, TX 78726-1771
(512) 514-5210
Mailing address
10713 N RR 620 RD STE 513, AUSTIN, TX 78726-1771
(512) 514-5210

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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