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Organization

VITALITY SPORTS MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER JOE FORD JR. B.S., D.C., C.C.S.P (OWNER/ DOCTOR)
(972) 867-2900
Entity
Organization

Contact information

Practice address
2004 VENTURA DR, #250, PLANO, TX 75093-2001
(972) 867-2900
(972) 867-2902
Mailing address
PO BOX 260172, PLANO, TX 75026-0172
(972) 867-2900
(972) 867-2902

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
7844
TX

Other

Enumeration date
08/08/2008
Last updated
04/18/2012
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