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1790075323

NPI Code Detail

MEDICARE: DR. MARCUS C FORD MD

MEDICARE: DR. MARCUS C FORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	2016010902	MO
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	48050	OK
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	181051	FL
4	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	U8721	TX
5	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	55561	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790075323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS C FORD MD

Provider Business Mailing Address
First Line	:	1141 NORTH LOOP 1604 E
Second Line	:	#105-PMB619
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 HARRIS PKWY STE 300
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4266
Country	:	US
Telephone Number	:	817-877-3432
Fax Number	:	817-346-4394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2011
Last Update Date	:	05/27/2026

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Directions to “ DR. MARCUS C FORD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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