Dr Doris Elaine Ford, MD | |
2901 N 4th Street, Hospitalist, Longview, TX 75605 | |
(903) 758-1818 | |
(903) 232-8226 |
Full Name | Dr Doris Elaine Ford |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2901 N 4th Street, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932103835 | NPI | - | NPPES |
160276508 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L6381 (Texas) | Primary |
Entity Name | Associated Clinicians Of East Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
Mailing Address | Practice Location Address |
---|---|
Dr Doris Elaine Ford, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Dr Doris Elaine Ford, MD 2901 N 4th Street, Hospitalist, Longview, TX 75605 Ph: (903) 758-1818 |
Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273 | |
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176 | |
John Layton Wright Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670 | |
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995 | |
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200 | |
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115 | |
Ketki Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 |