MS. SHELLY J WARD PAC NPI 1154571149

NPI Information

NPI: 1154571149
Provider Name: MS. SHELLY J WARD, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
6318 FM 1488 RD
SUITE #100
MAGNOLIA, TX
ZIP 77354
Phone: (936) 321-3110
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MS. Shelly J Ward, PAC is a medical physician assistant in Magnolia, TX. MS. Shelly J Ward, PAC NPI is 1154571149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6318 FM 1488 RD
SUITE #100
MAGNOLIA, TX
ZIP 77354-763
Phone: (936) 321-3110

The enumeration date for this NPI number is 9/25/2008 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA04699	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8P2140	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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