Individual
MRS. KYLAN LEIGH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18057 FM 832, BUFFALO, TX 75831-6208
(903) 388-4349
Mailing address
18057 FM 832, BUFFALO, TX 75831-6208
(903) 388-4349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1022556
TX
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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