Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAISE EDWARD FERRARACCIO, MD
ActiveNeurology · NACOGDOCHES, TX
Registration Details
- NPI Number
- 1679539142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2006 (19.990038488748 yrs)
- Last Updated
- Dec 8, 2021
- License
-
L8055 (TX)
Practice Information
- Address
-
4848 NE STALLINGS DR STE 106NACOGDOCHES, TX, 759651256Browse TX providers · Browse ZIP 75965
- Phone
- 9365599510
- Fax
- 9365599598
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in NACOGDOCHES, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MUNAWWER KHURSHID | M.D. | 1699733378 |
| JOSEPH SCAMARDO | M.D. | 1639285489 |
| MARIA L DELEON | MD | 1407957202 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.