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Organization
MARK W. FORD, JR., D.C., P.C.
Active
Organization
MARK W. FORD, JR., D.C., P.C.
Active
Other names
Live Well Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE W KROGH D.C. (PRESIDENT)
(806) 665-7261
Entity
Organization
Contact information
Practice address
701 N PRICE RD, PAMPA, TX 79065-5126
(806) 665-7261
(806) 665-0537
Mailing address
701 N PRICE RD, PAMPA, TX 79065-5126
(806) 665-7261
(806) 665-0537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373578901
—
TX
01
—
603479
BLUE CROSS ID#
TX
Enumeration date
05/17/2007
Last updated
02/05/2025
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