Organization
R J FORD MD PA
Active
Organization
R J FORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA M MARTIN (PRACTICE MANAGER)
(817) 599-4464
Entity
Organization
Contact information
Practice address
925 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5889
(817) 599-4464
(817) 599-5316
Mailing address
PO BOX 1207, WEATHERFORD, TX 76086-1207
(817) 599-4464
(817) 599-5316
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F9432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083QS
BCBS
TX
05
—
098721601
—
TX
05
—
098721604
—
TX
01
—
DG6383
MEDICARE RAILROAD
TX
Enumeration date
07/12/2006
Last updated
03/27/2012
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