Individual
MICAH ASTON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
271 RICHARDSON AVE, GOODFELLOW AFB, TX 76908
(325) 654-3149
Mailing address
271 RICHARDSON AVE, GOODFELLOW AFB, TX 76908
(325) 654-3149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1208093
—
363AM0700X
Medical Physician Assistant
Primary
1208093
—
Other
Enumeration date
05/05/2022
Last updated
01/12/2026
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