Individual
MR. NATHAN W FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDIATOR (CERTIFIED)
Contact information
Practice address
448 W 19TH ST # 344, HOUSTON, TX 77008-3914
(832) 713-7592
Mailing address
448 W 19TH ST # 344, HOUSTON, TX 77008-3914
(832) 713-7592
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
172A00000X
Driver
H01627842
HI
183700000X
Pharmacy Technician
T15574
OK
347C00000X
Private Vehicle
F622639924570
FL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/15/2024
Last updated
03/07/2026
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