Individual
MRS. DELORES FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BROADWAY ST, WHITESBORO, TX 76273-2202
(903) 821-1875
Mailing address
9555 LEBANON RD, 102, FRISCO, TX 75035-6095
(903) 821-1875
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
887136
TX
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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