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NPI Code Detail

MEDICARE: PATRICIA R WAREING LCSW

MEDICARE: PATRICIA R WAREING LCSW
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
11041C0700XClinical Social Worker15908TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
187308QOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1932248457
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA R WAREING LCSW
Provider Business Mailing Address
First Line : 4352 EMMETT F LOWRY EXPY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2628
Country : US
Telephone Number : 281-585-7490
Fax Number :
Provider Business Practice Location Address
First Line : 4444 W MAIN ST
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-1737
Country : US
Telephone Number : 281-585-7490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 07/08/2007

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