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Dr. Blake Ferguson, MD
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1780370932

Blake Ferguson is a Student in an Organized Health Care Education/Training Program based in Temple, TX. Blake Ferguson practices in Temple, TX and has the professional credentials of MD. The NPI Number for Blake Ferguson is 1780370932 and holds a License No. (Texas).

The current practice location address for Blake Ferguson is 2401 S 31St St # Ms 29C269, Temple, TX and can be reached out via phone at 254-724-1695 and via fax at 254-724-4217.

Location: 2401 S 31St St # Ms 29C269, Temple, TX, 76508-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780370932
Provider Name
Blake Ferguson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St # Ms 29C269, Temple, TX, 76508-0001
Phone Number
254-724-1695
Fax Number
254-724-4217
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St # Ms 29C269
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-1695
Fax Number
254-724-4217
person
Provider Business Mailing Address Details
Address
2401 S 31St St # Ms 29C269
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-1695
Fax Number
254-724-4217
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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