Provider Demographics
NPI:1023056553
Name:WARD, FRANK T (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:T
Last Name:WARD
Suffix:
Gender:M
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:910 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8369
Practice Address - Country:US
Practice Address - Phone:903-579-9800
Practice Address - Fax:903-526-4463
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7412207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116589605Medicaid
TX116589604Medicaid
TX116589602Medicaid
TX116589601Medicaid
TX8R1580OtherBLUE CROSS OF TEXAS
84Z394Medicare UPIN
TX116589602Medicaid
TX8A3980Medicare PIN
TX116589601Medicaid
TX830005552Medicare PIN