Individual
CASSANDRA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
307 W UPSHUR AVE, GLADEWATER, TX 75647-2121
(903) 845-2159
(903) 845-5451
Mailing address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140223
TX
Other
Enumeration date
04/16/2019
Last updated
06/11/2019
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