Provider Demographics
NPI:1831810878
Name:FORD, MERCY PAULINE
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:PAULINE
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 W CAMPBELL RD APT 6218
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2363
Mailing Address - Country:US
Mailing Address - Phone:214-702-8361
Mailing Address - Fax:
Practice Address - Street 1:1679 W CAMPBELL RD APT 6218
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2363
Practice Address - Country:US
Practice Address - Phone:214-702-8361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care