Provider Demographics
NPI:1760482590
Name:WARD, JAMES WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:811 INTERSTATE 20 W
Mailing Address - Street 2:SUITE G10
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5870
Mailing Address - Country:US
Mailing Address - Phone:817-861-0505
Mailing Address - Fax:817-861-9540
Practice Address - Street 1:811 INTERSTATE 20 W
Practice Address - Street 2:SUITE G10
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5870
Practice Address - Country:US
Practice Address - Phone:817-861-0505
Practice Address - Fax:817-861-9540
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF4650208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00GH66Medicare ID - Type Unspecified
TXD69229Medicare UPIN