MEDICARE: BRANDON CHACE WARMAN PMHNP

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	922068	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0002552	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	260261	AZ
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1019588	TX

General Provider Information

NPI Number	:	1871123976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON CHACE WARMAN PMHNP

Provider Business Mailing Address
First Line	:	1425 GREENWAY DR STE 360
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2447
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:	281-648-2200

Provider Business Practice Location Address
First Line	:	2121 MAIN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-4360
Country	:	US
Telephone Number	:	214-331-1200
Fax Number	:

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

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	03/13/2025

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