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Individual

DEBORAH M FERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7878
(713) 704-4203
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0340
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122138403
TX
01
122138405
CSHCN
TX
01
88682F
BCBS
TX
Enumeration date
07/10/2006
Last updated
05/07/2008
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