MEDICARE: DR. KENNETH MATHEW WARNOCK II

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	207X00000X	Orthopaedic Surgery Physician	K7940	TX
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	K7940	TX

General Provider Information

NPI Number	:	1215925680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH MATHEW WARNOCK II

Provider Business Mailing Address
First Line	:	7401 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4509
Country	:	US
Telephone Number	:	713-799-2300
Fax Number	:	713-794-3380

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY
Second Line	:	SUITE 330
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:	281-807-4380
Fax Number	:	281-807-6305

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/29/2025

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