Provider Demographics
NPI:1639164809
Name:FORD, PATRICK VAUGHN (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:VAUGHN
Last Name:FORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6411 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-704-4680
Mailing Address - Fax:713-704-5269
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-704-4680
Practice Address - Fax:713-704-5269
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2024-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG3360207UN0902X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy