Individual
BRET B FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
714 HILL COUNTRY DRIVE, KERRVILLE, TX 78028-6066
(830) 315-3673
(830) 315-3939
Mailing address
714 HILL COUNTRY DRIVE, KERRVILLE, TX 78028-6066
(830) 315-3673
(830) 315-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5121T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041011003
—
TX
Enumeration date
11/25/2005
Last updated
06/07/2012
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