Provider Demographics
NPI:1841275443
Name:FORD III, GEORGE ALMOND (MDFACP)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALMOND
Last Name:FORD III
Suffix:
Gender:M
Credentials:MDFACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 E SONTERRA BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4352
Mailing Address - Country:US
Mailing Address - Phone:210-404-0000
Mailing Address - Fax:210-404-2812
Practice Address - Street 1:1139 E SONTERRA BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4347
Practice Address - Country:US
Practice Address - Phone:210-404-0000
Practice Address - Fax:210-404-2812
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01136138OtherRAILROAD MEDICARE
TX117121708Medicaid
TX8DL535OtherBCBSTX
TX8DL535OtherBCBSTX
TXB161120Medicare PIN
TXD75180Medicare UPIN
TX1171217-04Medicaid
TXH08BP58201OtherBCBS
TX1171217-04Medicaid
TX8F9119Medicare PIN