Individual provider · NPI-1

Trasa Rynette Ford, RN

Registered Nurse, Registered Nurse First Assistant · Conroe, TX

NPI number1609001643

StatusActive

Last updated in NPPESMar 26, 2020

Details

NPI: 1609001643
Entity type: Individual (NPI-1)
Name: Mrs. Trasa Rynette Ford
Credential: RN
Sex: Female
Sole proprietor: Yes
Enumeration date: May 20, 2009
Certification date: Mar 26, 2020
Last updated: Mar 26, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WR0006X	Registered Nurse, Registered Nurse First Assistant	669199	TX	Yes

Practice location

4 Lake Dr
Conroe, TX 77384-3122

Phone 713-501-9703

Mailing address

4 Lake Dr
Conroe, TX 77384-3122

Phone 713-501-9703

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