Ward, Mark

Ward, Mark is an individual health care provider with primary practice located at 6621 Fannin St, Mc A1170 , Houston TX 77030-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Ward, Mark can be contacted via phone (832) 824-1177.

Contact Information

Primary practice address
6621 Fannin St, Mc A1170 Houston TX 77030-2303
Phone: (832) 824-1177
Fax: (832) 825-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X G0258 Texas

Profile Details

NPI number 1679653919
LBN Legal business name Ward, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679653919 NPPES
Texas MEDICAID 134038201

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