Provider Demographics
NPI:1861715476
Name:WARD, MARC ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:ANDREW
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3417 GASTON AVE STE 965
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2036
Mailing Address - Country:US
Mailing Address - Phone:972-817-6050
Mailing Address - Fax:972-817-6060
Practice Address - Street 1:3417 GASTON AVE STE 965
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2036
Practice Address - Country:US
Practice Address - Phone:972-817-6050
Practice Address - Fax:972-817-6060
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125-056483208600000X
TXR50532086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology