Individual
GLEN MICHAEL MCFERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 PULLIAM ST, SAN ANGELO, TX 76905-5148
(325) 658-1511
(325) 481-2165
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F4266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034378204
—
TX
Enumeration date
08/02/2006
Last updated
12/18/2012
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