Individual
CHRIS-GERALD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 481-2000
(325) 481-2255
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q7365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358866701
—
TX
Enumeration date
12/04/2013
Last updated
12/28/2017
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