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NPI Code Detail

MEDICARE: TAYLOR BRIANNE WARMOTH M.D.

MEDICARE: TAYLOR BRIANNE WARMOTH 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
1207R00000XInternal Medicine PhysicianBP10056149TX
2207RR0500XRheumatology PhysicianR8843TX

General Provider Information

NPI Number : 1902251663
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR BRIANNE WARMOTH M.D.
Provider Business Mailing Address
First Line : 3601 4TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79430-0002
Country : US
Telephone Number : 806-743-3150
Fax Number :
Provider Business Practice Location Address
First Line : 5220 80TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-2862
Country : US
Telephone Number : 806-771-2400
Fax Number : 806-771-7760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 03/21/2021

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