Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A107092 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | P6934 | TX |
NPI | 1255517421 |
---|---|
Provider Name | Clara Ward |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 01/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A107092 | MEDICAL LICENSE (01) | CA |