Individual
ANGELA DIANNE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
(409) 982-0978
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
(409) 982-0978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
631395
TX
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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