Individual
MR. GREGORY D FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-6516
Mailing address
PO BOX 122338, DALLAS, TX 75312-3153
(281) 875-8428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13027
TX
363AM0700X
Medical Physician Assistant
PA13027
TX
Other
Enumeration date
09/30/2019
Last updated
10/11/2024
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