Individual
ANNA MARIA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
BLDG 2245 58TH ST AND 761 ST TANK BN AVE, CHARLES T MOORE CLINIC, FORT HOOD, TX 76544-4752
(254) 287-5410
(254) 285-6193
Mailing address
36000 DARNALL LOOP, CARL R DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NCCPA1045907
—
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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