Individual
MICHAEL E FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
411 N BELKNAP ST, STEPHENVILLE, TX 76401-3415
(254) 965-2663
Mailing address
PO BOX 1558, STEPHENVILLE, TX 76401-0030
(254) 965-2663
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
239345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119946503
—
TX
Enumeration date
03/16/2006
Last updated
02/19/2009
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