Individual
SAMANTHA LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 N BEACH ST, FORT WORTH, TX 76137-3242
(817) 759-0004
Mailing address
1637 PLACITAS TRL, FORT WORTH, TX 76131-1546
(724) 971-9950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2130427
TX
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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