Ford, Gerald H

Ford, Gerald H is an sole proprietor health care provider with primary practice located at 4400 Buffalo Gap Rd Suite 2250, Abilene TX 79606-2723. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ford, Gerald H can be contacted via phone (325) 793-5380.

Contact Information

Primary practice address
4400 Buffalo Gap Rd Suite 2250 Abilene TX 79606-2723
Phone: (325) 793-5380
Fax: (325) 793-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 038581 Texas

Profile Details

NPI number 1811986193
LBN Legal business name Ford, Gerald H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jan 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811986193 NPPES
Texas Other P00342697 MEDICARE ID
Texas Other 86009U MEDICARE ID
Texas MEDICAID C088724C5 MEDICARE ID

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