Provider Demographics
NPI:1033106893
Name:FERRER, ARACELY I (MD)
Entity Type:Individual
Prefix:
First Name:ARACELY
Middle Name:I
Last Name:FERRER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 W. HOUSTON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205
Mailing Address - Country:US
Mailing Address - Phone:210-877-5600
Mailing Address - Fax:210-877-5601
Practice Address - Street 1:343 W. HOUSTON
Practice Address - Street 2:STE #302
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205
Practice Address - Country:US
Practice Address - Phone:210-877-5600
Practice Address - Fax:210-877-5601
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6041208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159827801Medicaid
TX8A9292Medicare ID - Type Unspecified
TX159827801Medicaid