Individual
MARK WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6621 FANNIN ST, MC A1170, HOUSTON, TX 77030-2303
(832) 824-1177
(832) 825-1187
Mailing address
6621 FANNIN ST., MC A1170, HOUSTON, TX 77030-2303
(832) 824-1177
(832) 825-1187
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G0258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134038201
—
TX
Enumeration date
10/17/2006
Last updated
12/23/2011
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