Individual
JONATHAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FT WORTH, TX 76104-4917
(314) 324-7192
Mailing address
1500 S MAIN ST, FT WORTH, TX 76104-4917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10049916
TX
207P00000X
Emergency Medicine Physician
Q8244
TX
Other
Enumeration date
04/30/2014
Last updated
09/27/2016
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