Provider Demographics
NPI:1316349004
Name:J. THOMAS WARD, JR., M.D., P.A.
Entity type:Organization
Organization Name:J. THOMAS WARD, JR., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:972-335-9372
Mailing Address - Street 1:8404 YANCEY CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4343
Mailing Address - Country:US
Mailing Address - Phone:972-335-9372
Mailing Address - Fax:
Practice Address - Street 1:8404 YANCEY CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4343
Practice Address - Country:US
Practice Address - Phone:972-335-9372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4649207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty