1114487329 NPI number — PAUL L WARREN, PSYD, PC

Table of content: (NPI 1114487329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114487329 NPI number — PAUL L WARREN, PSYD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAUL L WARREN, PSYD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114487329
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 331584
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76163-1584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-292-4179
Provider Business Mailing Address Fax Number:
817-918-4839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5658 WESTCREEK DR STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76133-2254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-292-4179
Provider Business Practice Location Address Fax Number:
817-918-4839
Provider Enumeration Date:
03/22/2019

Additional Information

Authorized Official

Authorized Official Last Name:
WARREN
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
LAWRENCE
Authorized Official Title or Position:
CLINICAL PSYCHOLOGIST
Authorized Official Telephone Number:
817-292-4179

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PT000U23X , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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