Individual
LAURA E FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H1366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137460501
CSHCN
TX
05
—
137460502
—
TX
01
—
138598110
CSHCN
TX
05
—
138598119
—
TX
05
—
138598120
—
TX
01
—
88Y660
BCBS
TX
Enumeration date
06/15/2006
Last updated
07/17/2014
Update your record
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