MEDICARE: MR. ROBERT DAVID WARREN D.P.M.

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	213E00000X	Podiatrist	1647	TX

General Provider Information

NPI Number	:	1831149681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT DAVID WARREN D.P.M.

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W ARBROOK BLVD
Second Line	:	SUITE 201
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3174
Country	:	US
Telephone Number	:	817-467-1990
Fax Number	:	817-466-8737

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	03/07/2024

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