=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639446610
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WARREN HAMPTON CAVE APRN
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2011
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 COMMERCE WAY
-----------------------------------------------------
City | KAUFMAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75142-7361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-932-8555
-----------------------------------------------------
Fax | 469-770-5094
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2300 COMMERCE WAY
-----------------------------------------------------
City | KAUFMAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75142-7361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-932-8555
-----------------------------------------------------
Fax | 469-770-5094
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 736488
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------