Provider Demographics
NPI:1235236787
Name:FERAY, COTTON DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:COTTON
Middle Name:DANIEL
Last Name:FERAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:COTTON
Other - Middle Name:DE
Other - Last Name:FERAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6402 HICKORYCREST
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:281-379-6244
Mailing Address - Fax:
Practice Address - Street 1:720 LAWRENCE ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-351-5922
Practice Address - Fax:281-255-3016
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB87763Medicare UPIN
TX8960JMedicare ID - Type Unspecified