Individual
TIM FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6829 AVE K, SUITE 105, PLANO, TX 75074
(972) 422-8280
(972) 422-8315
Mailing address
6829 AVE K, SUITE 105, PLANO, TX 75074
(972) 422-8280
(972) 422-8315
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
87964
TX
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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