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Organization

EDWIN L. FERREN, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN L FERREN M.D. (PRESIDENT)
(936) 564-2401
Entity
Organization

Contact information

Practice address
1023 N MOUND ST, SUITE E, NACOGDOCHES, TX 75961-4491
(936) 564-2401
(936) 560-0295
Mailing address
PO BOX 631068, NACOGDOCHES, TX 75963-1068
(936) 564-2401
(936) 560-0295

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G5038
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123075704
TX
Enumeration date
05/26/2010
Last updated
05/26/2010
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