Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | P7271 | TX |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | P7271 | TX |
NPI | 1013233295 |
---|---|
Provider Name | Matthew Paul Ferguson |
First Address | Lubbock, TX 79430 |
Second Address | Lubbock, TX 79430-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 16/11/2021 |