Provider Demographics
NPI:1023269925
Name:FORD, KRIS A (DPM)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:A
Last Name:FORD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:45 NE LOOP 410
Mailing Address - Street 2:SUITE 485
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5832
Mailing Address - Country:US
Mailing Address - Phone:210-227-8700
Mailing Address - Fax:210-348-9130
Practice Address - Street 1:102 PALO ALTO RD
Practice Address - Street 2:SUITE 133
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3758
Practice Address - Country:US
Practice Address - Phone:210-923-9200
Practice Address - Fax:210-923-9202
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1954213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
8BT932OtherBCBS
TXTXB130922Medicare PIN