Organization
RENATA FORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA FORD MD (MD OWNER)
(210) 705-4855
Entity
Organization
Contact information
Practice address
502 MADISON OAK DR, SUITE 160, SAN ANTONIO, TX 78258-4084
(210) 519-5797
Mailing address
PO BOX 691475, SAN ANTONIO, TX 78269-1475
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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