VITALITY SPORTS MEDICINE, INC.
Anesthesiologist Assistant at Ventura Dr, Plano, TX

License number
Texas 7844
Category
Chiropractic
Type
Sports Physician
Owner
Name: DR. WALTER JOE FORD JR. B.S., D.C., C.C.S.P
Title: OWNER/ DOCTOR
Phone: (972) 867-2900
Address
Address
2004 Ventura Dr #250, Plano, TX 75093
National Provider ID: 1942456082
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VITALITY SPORTS MEDICINE, INC

Plano, TX

Industry:
Chiropractor
Doing business as:
Vitality Sports Medicine
Registration:
Apr 13, 2011
Site:
vitalitysportsmed.com
Phone:
(972) 867-2900 (Phone)
Addresses:
4020 W Plano Pkwy, Plano, TX 75093 (Mailing)
2004 Ventura Dr, Plano, TX 75093
State ID:
0801412143
Business type:
Domestic For-Profit Corporation
Directors:
Dawn Bova Ford (Director), 4020 W Plano Pkwy, Plano, TX 75093,Walter J Ford (President), 4020 W Plano Pkwy, Plano, TX 75093,Dawn M. Bova-Ford Director, inactive
Agent:
Emily N Theobald,4020 W Plano Pkwy, Plano, TX 75093 (Physical)
TIN:
32044056862
Categories:
Sports Medicine Physicians & Surgeons
Specialties:
Chiropractic, Endermology, Sports Medicine

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