Angela Ford
Individual provider Active NPI Community Health Worker · Sour Lake, TX
NPI 1063825834 · NPPES record last updated Jun 9, 2014
Key facts
- NPI
- 1063825834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 2048442 (TX)
- Practice address
- 311 Pinehurst Dr
Sour Lake, TX 77659-9250 - Phone
- (903) 245-6892
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048442 | TX | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2048442 | TX | Yes |
Addresses
Primary practice location
311 Pinehurst Dr
Sour Lake, TX 77659-9250
Mailing address
311 Pinehurst Dr
Sour Lake, TX 77659-9250
Other providers in Sour Lake, TX
- Bloom Speech & Language Therapy LLC
- Brookshire Brothers Inc
- Darlene Bryan
- Ginger Lee Coburn
- Amy Renee Dale
- Lacey Ann Guedry
- Hardin County Emergency Service District No 5
- Patricia Ann Heirtzler
- Karla Michelle Kicak
- Shawn D Klinger
All providers in Sour Lake, TX · Community Health Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.