Provider Demographics
NPI:1356018428
Name:WARD, DANYELL
Entity Type:Individual
Prefix:
First Name:DANYELL
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 S MASON RD APT 425
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7700
Mailing Address - Country:US
Mailing Address - Phone:504-373-7784
Mailing Address - Fax:
Practice Address - Street 1:3903 S MASON RD APT 425
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7700
Practice Address - Country:US
Practice Address - Phone:504-373-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)