Provider Demographics
NPI:1558478875
Name:FERGUSON, DONALD WILLIAM II (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WILLIAM
Last Name:FERGUSON
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:4013 WILDBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6759
Mailing Address - Country:US
Mailing Address - Phone:817-557-6227
Mailing Address - Fax:817-557-6247
Practice Address - Street 1:601 OMEGA DR
Practice Address - Street 2:SUITE 205
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2075
Practice Address - Country:US
Practice Address - Phone:817-557-6227
Practice Address - Fax:817-557-6247
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2011-05-06
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Provider Licenses
StateLicense IDTaxonomies
TXL6039207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH80553Medicare UPIN