Grayson Thomas Ford, CRNA
Nurse Anesthetist, Certified Registered in Fort Worth, TX. Individual provider (NPI-1).
NPI number1669949293
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1669949293
- Entity type
- Individual (NPI-1)
- Name
- Grayson Thomas Ford
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2018
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP140482 | TX | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 799542 | TX |
Practice location
1400 8th AveFort Worth, TX 76104-4110
Phone 504-920-4729
Mailing address
3421 Hamilton AveFort Worth, TX 76107-1852
Phone 504-920-4729
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