Delores Ferguson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

887136 Issued in TX

Practice address

104 Broadway St
Whitesboro, TX 76273-2202

Phone

(903) 821-1875

NPI assigned

Dec 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Dee Ferguson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1982886925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 LEBANON RD",
            "address_2": "102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356095",
            "telephone_number": "903-821-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROADWAY ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762732202",
            "telephone_number": "903-821-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DELORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "887136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "FERGUSON",
            "prefix": "MRS.",
            "credential": "WIG EXPERT  COSMOTOL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Whitesboro, TX
• Providers in Whitesboro, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.