Healthcare Provider Details

I. General information

NPI: 1750373304
Provider Name (Legal Business Name): JAMES E. FERGUSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 W GRAND PKWY S
SUGAR LAND TX
77479-2562
US

IV. Provider business mailing address

1211 HIGHWAY 6 SUITE 1
SUGAR LAND TX
77478-4941
US

V. Phone/Fax

Practice location:
  • Phone: 281-725-5150
  • Fax: 281-725-5611
Mailing address:
  • Phone: 281-494-4832
  • Fax: 281-494-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberF6619
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: