Individual
MR. JEFFERY ALBERT FERGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.C.P., L.P.
Contact information
Practice address
14603 HUEBNER RD, BLG 28 STE 28101, SAN ANTONIO, TX 78230-5469
(210) 614-7074
(210) 614-7091
Mailing address
14603 HUEBNER RD, BLG 28 STE 28101, SAN ANTONIO, TX 78230-5469
(210) 614-7074
(210) 614-7091
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PFO314
TX
Other
Enumeration date
10/28/2008
Last updated
11/16/2015
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