Renata Ford Md Pa

NPI 1144504978 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1144504978
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RENATA RENATA
Position MD OWNER
Phone (210) 519-5797
Fax
Practice Location
502 MADISON OAK DR
SUITE 160
SAN ANTONIO TX, 78258-4084, US
Phone (210) 519-5797
Fax
Business Location
PO BOX 691475
SAN ANTONIO TX, 78269-1475, US
Phone
Fax
Toxanomy
Taxonomy Code 208G00000X
License State
License Number
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According to our database, Renata Ford Md Pa NPI is 1144504978, taxonomy code is 208G00000X Renata Ford Md Pa physically located at 502 Madison Oak Dr, San Antonio TX, 78258-4084. NPI Number 1033115704 has the healthcare provider type.

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1144504978 NPI number is provided on an as is basis without warranty of any kind. 1144504978 is maintained by the National Plan & Provider Enumeration System. The contents of Renata Ford Md Pa are for informational purposes only.