Individual
SUSANNAH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-6998
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-6998
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA02361
TX
Other
Enumeration date
09/13/2006
Last updated
11/02/2012
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