MEDICARE: DR. WARREN SPIELMAN DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	10551	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85D053	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1952528267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN SPIELMAN DDS

Provider Business Mailing Address
First Line	:	7217 HAWKINS VIEW DR
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3927
Country	:	US
Telephone Number	:	817-292-3605
Fax Number	:	817-292-1743

Provider Business Practice Location Address
First Line	:	7217 HAWKINS VIEW DR
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3927
Country	:	US
Telephone Number	:	817-292-3605
Fax Number	:	817-292-1743

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	05/25/2012

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Directions to “ DR. WARREN SPIELMAN DDS” Practice Location

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