Provider Demographics
NPI:1154516441
Name:WARD, AQUIA (NP)
Entity type:Individual
Prefix:
First Name:AQUIA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2301 S HAMPTON RD
Mailing Address - Street 2:STE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1650
Mailing Address - Country:US
Mailing Address - Phone:214-339-5336
Mailing Address - Fax:214-339-5362
Practice Address - Street 1:2301 S HAMPTON RD
Practice Address - Street 2:STE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1650
Practice Address - Country:US
Practice Address - Phone:214-339-5336
Practice Address - Fax:214-339-5362
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2016-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX706757363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080843801Medicaid