NPI 1356173660

Nathan W Ferguson-Khan, MEDIATORCERTIFIED

Practitioner Dietary Manager Houston, TX

Practice location

Address: 448 W 19th St # 344, Houston, TX 77008-3914
Phone: (832) 713-7592

Registered specialties (5)

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence T15574 (OK)

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Driver

Other Service Providers Taxonomy 172A00000X Licence H01627842 (HI)

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Private Vehicle

Transportation Services Taxonomy 347C00000X Licence F622639924570 (FL)

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Registry record

NPI: 1356173660
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2024
Record last updated: 3 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.