Healthcare Provider Details

I. General information

NPI: 1972549889
Provider Name (Legal Business Name): WARPULA PODIATRY, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W 38TH ST STE. 318
AUSTIN TX
78731-6400
US

IV. Provider business mailing address

PO BOX 938
KILLEEN TX
76540-0938
US

V. Phone/Fax

Practice location:
  • Phone: 512-380-9555
  • Fax: 512-380-9666
Mailing address:
  • Phone: 254-634-6999
  • Fax: 254-200-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICK W WARPULA
Title or Position: OWNER
Credential: D.P.M
Phone: 512-380-9555