Individual
HEATHER FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1818
(757) 482-6732
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
625560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160158502
—
TX
01
—
84166U
BCBSTX
TX
Enumeration date
05/04/2006
Last updated
10/29/2007
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