Individual
GLENNA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 OAK RIDGE RD, WILLIS, TX 77378-2864
(281) 509-1582
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210940
TX
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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