IndividualActive
Angela Ford
NPI 1063825834 · Community Health Worker · Sour Lake, TX
Provider details
- NPI number
- 1063825834
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2048442 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
311 Pinehurst Dr
Sour Lake, TX 77659-9250
Phone: (903) 245-6892
Approximate (ZIP-level) locationGet directions
Mailing address
311 Pinehurst Dr
Sour Lake, TX 77659-9250
Registry dates
- Enumerated
- 2014-06-09
- Last updated
- 2014-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.