Individual
PATRICIA M FERRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA/CST/CFA
Contact information
Practice address
2301 SAINT ALBENS PL, GARLAND, TX 75040-1144
(972) 986-3030
(972) 986-9820
Mailing address
PO BOX 117, ROWLETT, TX 75030-0117
(972) 986-3030
(972) 986-9820
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00068
TX
246ZS0410X
Surgical Technologist
SA00068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079JR
BLUE CROSS BLUE SHIELD
TX
01
—
356498900
DEPT OF LABOR
TX
01
—
615335300
DEPT OF LABOR
—
Enumeration date
08/30/2006
Last updated
07/21/2022
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