Individual
GINA FERGUSON-LOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
901 HEMPHILL, FORT WORTH, TX 76104-3111
(817) 332-4060
(817) 332-2304
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-2304
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7910202
AETNA
TX
01
—
80331A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/09/2007
Last updated
03/10/2017
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