Warmoth, Larry A

Warmoth, Larry A is an sole proprietor health care provider with primary practice located at 3801 21St St Ste 200 , Lubbock TX 79410-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Warmoth, Larry A can be contacted via phone (806) 687-0338.

Contact Information

Primary practice address
3801 21St St Ste 200 Lubbock TX 79410-1006
Fax: (806) 687-4326
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J4599 Texas

Profile Details

NPI number 1902891815
LBN Legal business name Warmoth, Larry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated May 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902891815 NPPES
Other 223865699 TRICARE
Other 0086JP TRICARE
MEDICAID 117567107 TRICARE

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