Healthcare Provider Details

I. General information

NPI: 1588824577
Provider Name (Legal Business Name): JULIA RENEE WARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FM 655 RAMSEY 1 UNIT MEDICAL DEPARTMENT
ROSHARON TX
77583
US

IV. Provider business mailing address

39 TAYSIDE TRAK
MISSOURI CITY TX
77459-3520
US

V. Phone/Fax

Practice location:
  • Phone: 281-595-3491
  • Fax:
Mailing address:
  • Phone: 281-825-7409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM5571
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberM5571
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: