Provider Demographics
NPI:1275837965
Name:WARD FP, LLC
Entity Type:Organization
Organization Name:WARD FP, LLC
Other - Org Name:WARD FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:409-267-2248
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:101 DONNA DR
Mailing Address - City:ANAHUAC
Mailing Address - State:TX
Mailing Address - Zip Code:77514-0209
Mailing Address - Country:US
Mailing Address - Phone:409-267-2248
Mailing Address - Fax:409-267-2249
Practice Address - Street 1:101 DONNA DR
Practice Address - Street 2:
Practice Address - City:ANAHUAC
Practice Address - State:TX
Practice Address - Zip Code:77514-0209
Practice Address - Country:US
Practice Address - Phone:409-267-2248
Practice Address - Fax:409-267-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty