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Individual
DERON DERMAR FORD I
Active
Individual
DERON DERMAR FORD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1112214
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1112214
TX
Other
Enumeration date
03/06/2023
Last updated
05/15/2026
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