Individual
EDWIN L. FERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3816 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(936) 560-2990
(936) 560-3609
Mailing address
3816 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(936) 560-2990
(936) 560-3609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G5038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123075704
—
TX
01
—
2222690
BLUE LINK
TX
Enumeration date
06/16/2005
Last updated
02/24/2022
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