NPIMap

Theresa Ann Alford, P.A.

Individual provider Active NPI Physician Assistant · Fort Sam Houston, TX

NPI 1659603801 · NPPES record last updated Feb 15, 2023

Key facts

NPI
1659603801
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA20514 (CA)
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-0808
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20514CAMDClinical Psychologist
PA20514CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20514 CA Yes

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (559) 309-2222

Other names

  • Theresa Ann Brown Former name

Other providers in Fort Sam Houston, TX

All providers in Fort Sam Houston, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.