Individual
ANGELA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 PINEHURST DR, SOUR LAKE, TX 77659-9250
(903) 245-6892
Mailing address
311 PINEHURST DR, SOUR LAKE, TX 77659-9250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2048442
TX
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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