Individual
DR. JEFFERY J FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(214) 802-8170
Mailing address
411 E ASHBY PL, SAN ANTONIO, TX 78212-3713
(214) 802-8170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q9155
TX
Other
Enumeration date
04/15/2014
Last updated
04/24/2018
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