Individual
DAVITA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 BIRCH HAVEN DR, KINGWOOD, TX 77339-1319
(346) 345-9031
Mailing address
4582 KINGWOOD DR STE E, KINGWOOD, TX 77345-2640
(346) 325-2408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2898
TX
Other
Enumeration date
04/11/2017
Last updated
12/10/2024
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