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Individual
MR. TIMOTHY FORD
Active
Individual
MR. TIMOTHY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350729502
—
TX
01
—
350729503
CSHCN
TX
Enumeration date
12/03/2014
Last updated
10/11/2023
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