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NPI Code Detail

MEDICARE: DR. ANTHONY R WARD PHD

MEDICARE: DR. ANTHONY R WARD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist38464TX

General Provider Information

NPI Number : 1619593514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY R WARD PHD
Provider Business Mailing Address
First Line : 7575 KIRBY DR APT 2114
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4397
Country : US
Telephone Number : 505-440-1803
Fax Number :
Provider Business Practice Location Address
First Line : 5858 WESTHEIMER RD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5643
Country : US
Telephone Number : 713-487-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 06/17/2020

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