Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | F6112 | TX |
N | 207R00000X | Internist | F6112 | TX |
N | 111NI0900X | Internist | F6112 | TX |
NPI | 1073527040 |
---|---|
Provider Name | Victorico Ferguson Singzon |
First Address | Beaumont, TX 77706-7706 |
Second Address | Beaumont, TX 77707-2552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |