Individual
MR. HENRY LAMONT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER STYLIST
Contact information
Practice address
2825 50TH ST, SUITE 30, LUBBOCK, TX 79413-4328
(806) 543-1187
Mailing address
601 N SPRUCE AVE, LUBBOCK, TX 79403-3903
(806) 543-1187
(806) 722-2403
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1194952
TX
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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