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
Phone: (806) 687-0338
Fax: (806) 687-4326
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902891815 | NPPES |
| Other | 223865699 | TRICARE | |
| Other | 0086JP | TRICARE | |
| MEDICAID | 117567107 | TRICARE |
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