Individual
MARY BARTLETT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, INFECTIOUS DISEASE, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-6017
(210) 916-5900
Mailing address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR., JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5554
(210) 916-5900
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101264113
VA
Other
Enumeration date
03/14/2016
Last updated
08/23/2023
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