Individual
AMANDA M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 W SAN AUGUSTINE ST, DEER PARK, TX 77536-4024
(281) 884-8100
Mailing address
3419 DEEDS RD, HOUSTON, TX 77084-5574
(972) 922-7830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135700
TX
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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