Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | H3381 | TX |
NPI | 1023098027 |
---|---|
Provider Name | Ferral L Endsley |
First Address | Abilene, TX 79601-2336 |
Second Address | Abilene, TX 79601-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 27/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030999901 | (05) | TX |
C15464 | (02) |