Provider Demographics
NPI:1407046709
Name:WARD, JANE BALLARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:BALLARD
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:232 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALAMO HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4517
Mailing Address - Country:US
Mailing Address - Phone:210-829-5575
Mailing Address - Fax:210-829-5575
Practice Address - Street 1:2200 BERGQUIST DR STE 1
Practice Address - Street 2:59TH MDW/ WILFORD HALL MEDICAL CENTER
Practice Address - City:LACKLAND AFB
Practice Address - State:TX
Practice Address - Zip Code:78236-9908
Practice Address - Country:US
Practice Address - Phone:210-292-6815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8562207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology