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NPI Code Detail

MEDICARE: DR. REGINA LYNN FERGUSON DDS

MEDICARE: DR. REGINA LYNN FERGUSON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry25923TX
21223G0001XGeneral Practice Dentistry9013TN

General Provider Information

NPI Number : 1346478195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REGINA LYNN FERGUSON DDS
Provider Business Mailing Address
First Line : 6015 HILLCROFT ST
Second Line : STE 1600
City : HOUSTON
State : TX
Zip : 77081-1019
Country : US
Telephone Number : 832-201-3655
Fax Number : 832-377-4499
Provider Business Practice Location Address
First Line : 8143 LONG POINT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-2032
Country : US
Telephone Number : 832-201-3655
Fax Number : 832-377-4499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 10/27/2010

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