Individual
JOHN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
842 HUEBNER WAY, BURLESON, TX 76028-6285
(817) 701-5307
Mailing address
842 HUEBNER WAY, BURLESON, TX 76028-6285
(817) 905-2388
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
199022
TX
246ZS0410X
Surgical Technologist
112186
TX
Other
Enumeration date
02/09/2016
Last updated
10/06/2020
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