Individual
ALITZA K FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 271-0606
(210) 475-9806
Mailing address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 271-0606
(210) 475-9806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OORM40
MEDICARE GROUP PTAN
TX
Enumeration date
06/21/2005
Last updated
11/17/2014
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