Alisa K Ward, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L2735 Issued in TX

Legal business name

ALISA K WARD, MD PA

Practice address

399 W Campbell Rd
Suite 410
Richardson, TX 75080-3595

Phone

(972) 238-7799

Fax

(972) 238-7135

NPI assigned

Jul 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisa K Ward, MD

Title

President

Phone

(972) 238-7799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1093029324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "SUITE 410",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803595",
            "telephone_number": "972-238-7799",
            "fax_number": "972-238-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "SUITE 410",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803595",
            "telephone_number": "972-238-7799",
            "fax_number": "972-238-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA K WARD, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-238-7799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L2735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542037-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richardson, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.