Individual
DR. JOHN M FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 E MARSHALL AVE, SUITE 5008, LONGVIEW, TX 75601-5500
(903) 757-7871
(903) 753-2479
Mailing address
703 E MARSHALL AVE, SUITE 5008, LONGVIEW, TX 75601-5500
(903) 757-7871
(903) 753-2479
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D4990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163803
—
TX
01
—
P00417181
RR MEDICARE
TX
Enumeration date
03/08/2006
Last updated
06/11/2008
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