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Individual
MR. WALTER JOE FORD JR.
Active
Individual
MR. WALTER JOE FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7844DC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606038
BLUE CROSS BLUE SHIELD
TX
01
—
7844DC
LICENSE #
TX
Enumeration date
09/19/2006
Last updated
12/05/2019
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