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NPI Code Detail

MEDICARE: EDWIN L. FERREN

MEDICARE: EDWIN L. FERREN
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
1207X00000XOrthopaedic Surgery PhysicianG5038TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22222690OTHERTXBLUE LINK

General Provider Information

NPI Number : 1366447419
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIN L. FERREN
Provider Business Mailing Address
First Line : 3816 N UNIVERSITY DR
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-2011
Country : US
Telephone Number : 936-560-2990
Fax Number : 936-560-3609
Provider Business Practice Location Address
First Line : 3816 N UNIVERSITY DR
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-2011
Country : US
Telephone Number : 936-560-2990
Fax Number : 936-560-3609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/24/2022

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Directions to “ EDWIN L. FERREN ” Practice Location

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