Ford, Doris Elaine

Ford, Doris Elaine is an individual health care provider with primary practice located at 2901 N 4Th Street Hospitalist, Longview TX 75605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ford, Doris Elaine can be contacted via phone (903) 758-1818.

Contact Information

Primary practice address
2901 N 4Th Street Hospitalist Longview TX 75605
Fax: (903) 232-8226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L6381 Texas

Profile Details

NPI number 1932103835
LBN Legal business name Ford, Doris Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Sep 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932103835 NPPES
Texas MEDICAID 160276508

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