Provider Demographics
NPI:1982905337
Name:DONALD P. WARD, M.D.,P.A.
Entity Type:Organization
Organization Name:DONALD P. WARD, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-440-1113
Mailing Address - Street 1:4007 JAMES CASEY ST STE B220
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1182
Mailing Address - Country:US
Mailing Address - Phone:512-440-1113
Mailing Address - Fax:512-444-1346
Practice Address - Street 1:4007 JAMES CASEY ST STE B220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1182
Practice Address - Country:US
Practice Address - Phone:512-440-1113
Practice Address - Fax:512-444-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7285174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC23164Medicare UPIN