Individual
DINA ELIZABETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1333
(205) 934-4696
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265
(409) 266-7812
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T3279
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2016
Last updated
09/20/2021
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