Individual
DR. ALYSSA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1450 EASTCHASE PKWY, FORT WORTH, TX 76120-4429
(817) 460-6449
Mailing address
PO BOX 821112, NORTH RICHLAND HILLS, TX 76182-1112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8173T
TX
Other
Enumeration date
06/21/2013
Last updated
09/28/2016
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