Provider Demographics
NPI:1437207800
Name:WARD, ALISA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISA
Middle Name:KAY
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 PARKWOOD BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1930
Mailing Address - Country:US
Mailing Address - Phone:214-618-2802
Mailing Address - Fax:214-618-3208
Practice Address - Street 1:3880 PARKWOOD BLVD STE 403
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1930
Practice Address - Country:US
Practice Address - Phone:214-618-2802
Practice Address - Fax:214-618-3208
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2735207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093029324OtherGROUP NPI
TX1542037-01Medicaid
TX1542037-01Medicaid