Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP1-0022205 | TX |
N | 207V00000X | Obstetrician & Gynecologist | N4834 | TX |
N | 207VX0201X | Gynecologic Oncologist | ME120258 | FL |
Y | 207VX0201X | Gynecologic Oncologist | N4834 | TX |
NPI | 1174727770 |
---|---|
Provider Name | Dr. Kristy Kay Ward |
First Address | Dallas, TX 75391-1230 |
Second Address | Sugar Land, TX 77479-4308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 12/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2766284732 | MYUTMB 2766284732-COMMERCIAL NUMBER (01) | |
366203301 | (05) | TX |
366203302 | (05) | TX |