Doctor Name: | DR. STEVEN LEE FORD |
NPI Number: | 1003108614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | P9568 |
Business Practice Address: | 6621 Fannin St Suite W6104 Houston, TX - 770302358 |
Business Phone Number: | 8328261309 |
Business Fax Number: | 8328252799 |
Mailing Address: | 6621 Fannin St, Suite W6104 HOUSTON |
State: | TX |
Postal Code: | 770302358 |
Phone Number: | 8328261309 |
Fax Number: | 8328252799 |
NPI Enumeration Date: | 05/15/2011 |
NPI Last Update Date: | 07/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | P9568 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |