Individual
JAMES W FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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