Individual
MRS. TRASA RYNETTE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 LAKE DR, CONROE, TX 77384-3122
(713) 501-9703
Mailing address
4 LAKE DR, CONROE, TX 77384-3122
(713) 501-9703
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
669199
TX
Other
Enumeration date
05/20/2009
Last updated
03/26/2020
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