Individual
KELLY CATHERINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340172101
—
TX
01
—
8963UH
BCBS
TX
01
—
P01741068
RR MEDICARE
TX
Enumeration date
06/11/2014
Last updated
09/04/2025
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