MEDICARE: STEPHEN WARNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0801X	Orthopaedic Trauma Physician	R3245	TX

General Provider Information

NPI Number	:	1104116821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN WARNER

Provider Business Mailing Address
First Line	:	6414 FANNIN ST
Second Line	:	SUITE G-150
City	:	HOUSTON
State	:	TX
Zip	:	77030-1517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6414 FANNIN ST
Second Line	:	SUITE G-150
City	:	HOUSTON
State	:	TX
Zip	:	77030-1517
Country	:	US
Telephone Number	:	713-512-7240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	12/18/2017

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Directions to “ STEPHEN WARNER ” Practice Location

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