Organization
FORD WELLNESS AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE E FORD D.C. (DOCTOR)
(817) 490-9191
Entity
Organization
Contact information
Practice address
100 TROPHY CLUB DR., TROPHY CLUB, TX 76262
(817) 490-9191
(817) 490-9892
Mailing address
100 TROPHY CLUB DR. #108, TROPHY CLUB, TX 76262
(817) 490-9191
(817) 490-9892
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606035
BCBS
TX
01
—
609304
MEDICARE
TX
Enumeration date
08/14/2008
Last updated
02/03/2012
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