Individual
JAMES W FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 LONDONDERRY DR, 300, WACO, TX 76712-7924
(254) 772-2722
(254) 772-4075
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FZ09
BLUE CROSS BLUE SHIELD
TX
05
—
091801301
—
TX
01
—
091801302
MEDICAID EPSDT
TX
01
—
112616100
FIRSTCARE
TX
01
—
20356263
BEECHSTREET
TX
01
—
525245
UNITED HEALTHCARE
—
01
—
742330906001
HUMANA/MILITARY-TRICARE
TX
01
—
9486752001
CIGNA
TX
Enumeration date
05/06/2006
Last updated
07/13/2009
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