Individual
KADIAH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 MARBLE FALLS DR, FORNEY, TX 75126-6699
(945) 444-6650
Mailing address
1200 EAST DAVIS ST SUITE 115, PMB 283, MESQUITE, TX 75149
(945) 900-4331
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
48320456
TX
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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