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Individual

RICKY JOE FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5889
(817) 599-4464
(817) 599-5316
Mailing address
PO BOX 1207, WEATHERFORD, TX 76086-1207
(817) 599-4464
(817) 599-5316

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F9432
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010017146
RAILROAD MEDICARE
01
010017147
RAILROAD MEDICARE
TX
05
0987216-01
TX
05
098721604
TX
01
8AJ899
BCBS
TX
Enumeration date
03/29/2006
Last updated
03/29/2012
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