Provider Demographics
NPI:1851371827
Name:FERGUSON, EARL EDWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:EDWARD
Last Name:FERGUSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7832 PAT BOOKER ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233
Mailing Address - Country:US
Mailing Address - Phone:210-657-9338
Mailing Address - Fax:210-293-1843
Practice Address - Street 1:18540 SIGMA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4274
Practice Address - Country:US
Practice Address - Phone:210-490-4661
Practice Address - Fax:210-490-4795
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-09-16
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Provider Licenses
StateLicense IDTaxonomies
TXJ9495208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery