Individual
BRENT T ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104-4049
(817) 878-5333
(817) 878-5334
Mailing address
1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104-4049
(817) 878-5333
(817) 878-5334
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K1969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143403702
—
TX
01
—
8H9675
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/23/2006
Last updated
02/04/2019
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