Individual
JAKE AUSTIN ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-7770
(682) 303-1575
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A164595
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
V8658
TX
Other
Enumeration date
03/27/2018
Last updated
10/08/2025
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