Healthcare Provider Details

I. General information

NPI: 1982905337
Provider Name (Legal Business Name): DONALD P. WARD, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 JAMES CASEY ST STE B220
AUSTIN TX
78745-1182
US

IV. Provider business mailing address

4007 JAMES CASEY ST STE B220
AUSTIN TX
78745-1182
US

V. Phone/Fax

Practice location:
  • Phone: 512-440-1113
  • Fax: 512-444-1346
Mailing address:
  • Phone: 512-440-1113
  • Fax: 512-444-1346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberF7285
License Number StateTX

VIII. Authorized Official

Name: DR. DONALD PATRICK WARD
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 512-440-1113