Mr Walter Joe Ford Jr, DC | |
4020 W Plano Pkwy, Plano, TX 75093-5613 | |
(972) 867-2900 | |
(972) 867-2902 |
Full Name | Mr Walter Joe Ford Jr |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4020 W Plano Pkwy, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669579173 | NPI | - | NPPES |
606038 | Other | TX | BLUE CROSS BLUE SHIELD |
7844DC | Other | TX | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7844DC (Texas) | Primary |
Provider Name | Model Wellness Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467042499 PECOS PAC ID: 2264831262 Enrollment ID: O20210525000328 |
Mailing Address | Practice Location Address |
---|---|
Mr Walter Joe Ford Jr, DC 4020 W. Plano Pkwy, Plano, TX 75093 Ph: (972) 867-2900 | Mr Walter Joe Ford Jr, DC 4020 W Plano Pkwy, Plano, TX 75093-5613 Ph: (972) 867-2900 |
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