Individual
LAURA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4111 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-3400
(903) 566-0291
Mailing address
4111 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-3400
(903) 566-0291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N0016
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
N0016
TX
Other
Enumeration date
05/03/2007
Last updated
05/03/2010
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