Individual
DR. ANDREW J FERCOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 S JOHN REDDITT DR, LUFKIN, TX 75904-3112
(936) 639-1005
(936) 639-1006
Mailing address
202 S JOHN REDDITT DR, LUFKIN, TX 75904-3112
(936) 639-1005
(936) 639-1006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092111601
—
TX
Enumeration date
05/15/2006
Last updated
04/18/2012
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