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Contact Information

MICAH A FORD, PA-C
271 RICHARDSON AVE
GOODFELLOW AFB, TX76908
 Phone: 325-654-3149
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICAH A FORD · (Male)

NPI Number 1083350870
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/05/2022
Last updated 01/12/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • License # 1208093
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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