Individual
MICHAEL C. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 TURTLE CREEK DR, TYLER, TX 75701
(903) 630-5037
(903) 258-9643
Mailing address
PO BOX 6651, TYLER, TX 75711-6651
(903) 630-5037
(903) 258-9643
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P7910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328499401
—
TX
01
—
8EA343
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/19/2005
Last updated
03/21/2019
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