Individual
DR. SHERISE DESIREE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-2991
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-6161
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125051069
IL
207T00000X
Neurological Surgery Physician
Primary
P7110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322927001
—
TX
01
—
8DY715
BCBS
TX
Enumeration date
10/08/2008
Last updated
12/30/2013
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