Individual
PAMELA G FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-6470
(210) 567-3294
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1612
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
242107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200949001
—
TX
Enumeration date
08/31/2006
Last updated
06/01/2009
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