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General NPI Number Information
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NPI Number | 1245255629
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Entity Type | Individual
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Provider Name | MARK CHARLES FERRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/09/2020
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Provider Practice Location Address
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Address Line | 2850 LEWIS LN STE 109
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City | PARIS
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State | TX
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Zip | 75460-9378
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Country | US
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Telephone | 903-737-1680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1457
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City | PARIS
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State | TX
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Zip | 75461-1457
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Country | US
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Telephone | 903-737-1680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | J5758
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | J5758
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License Number State | TX
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