Individual
TAUNYA LA TAUSHA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10106 TERCERO ST, SAN ANTONIO, TX 78224-4478
(254) 370-6899
Mailing address
10106 TERCERO ST, SAN ANTONIO, TX 78224-4478
(254) 370-6899
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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