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Individual
DR. MARK WAYNE FORD JR.
Active
Individual
DR. MARK WAYNE FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245320555
NPI
—
01
—
603479
BLUE CROSS ID#
TX
01
—
8F8622
MEDICARE #
—
Enumeration date
10/15/2006
Last updated
02/05/2025
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