Provider Demographics
NPI:1760505267
Name:FERGUSON, SHARON RHODES
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:RHODES
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4113
Mailing Address - Country:US
Mailing Address - Phone:214-948-2412
Mailing Address - Fax:214-948-2475
Practice Address - Street 1:101 N ZANG BLVD STE 229
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4528
Practice Address - Country:US
Practice Address - Phone:214-948-2412
Practice Address - Fax:214-948-2475
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123003164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse