Basic Information
| Provider Information | |||||||||
| NPI: | 1700865060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | LYN | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2535 W OAK ST | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403821577 | ||||||||
| FaxNumber: | 9403875471 | ||||||||
| Practice Location | |||||||||
| Address1: | 2535 W OAK ST | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403821577 | ||||||||
| FaxNumber: | 9403875471 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2006 | ||||||||
| LastUpdateDate: | 02/01/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | K4340 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0114X | J8585 | TX | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 8X5842 | 01 | TX | BCBS TX NUMBER | OTHER | 030161605 | 05 | TX | MEDICAID | 1700865060 | 01 | TX | NPI | OTHER | 6484850005 | 01 | TX | MEDICARE NSC EFFECT 02/01/2011 | OTHER | P00389897 | 01 | TX | RAILROAD MEDICARE | OTHER | P00913309 | 01 | TX | RAILROAD MEDICARE EFFECT 02/01/2011 | OTHER | 8CR147 | 01 | TX | BCBS TX 02/01/2011 | OTHER | TXB117563 | 01 | TX | MEDICARE PART B EFFECT 02/01/2011 | OTHER |