Provider Demographics
NPI:1184036600
Name:FORD, TENAKA Y (CSA)
Entity type:Individual
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First Name:TENAKA
Middle Name:Y
Last Name:FORD
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Gender:F
Credentials:CSA
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Mailing Address - Street 1:9800 CENTRE PKWY
Mailing Address - Street 2:530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8271
Mailing Address - Country:US
Mailing Address - Phone:713-777-4539
Mailing Address - Fax:713-583-2061
Practice Address - Street 1:9800 CENTRE PKWY
Practice Address - Street 2:530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8271
Practice Address - Country:US
Practice Address - Phone:713-777-4539
Practice Address - Fax:713-583-2061
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2017-02-07
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Provider Licenses
StateLicense IDTaxonomies
TX4186363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical