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NPI Code Detail

MEDICARE: KIMBERLY A. WARNEKE M.D.

MEDICARE: KIMBERLY A. WARNEKE M.D.
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
12084P0800XPsychiatry PhysicianL4797TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285616102
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A. WARNEKE M.D.
Provider Business Mailing Address
First Line : 7011 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2007
Country : US
Telephone Number : 713-970-7000
Fax Number :
Provider Business Practice Location Address
First Line : 7200 NORTH LOOP E
Second Line :
City : HOUSTON
State : TX
Zip : 77028-5951
Country : US
Telephone Number : 713-970-8625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 05/20/2008

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