Organization
WARD THERAPIES, PC
Active
Organization
WARD THERAPIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIMOTHY WARD P.T. (PRESIDENT)
(979) 739-3940
Entity
Organization
Contact information
Practice address
1302 DEACON DR, COLLEGE STATION, TX 77845-6405
(979) 739-3940
Mailing address
1302 DEACON DR, COLLEGE STATION, TX 77845-6405
(979) 739-3940
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1130268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093121824
NPI
TX
01
—
1386704187
PROVIDER'S NPI
TX
01
—
365115
MEDICARE PROVIDER#
TX
01
—
87T45
BCBS
TX
Enumeration date
07/01/2014
Last updated
07/22/2015
Update your record
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