Warren, Michael Anthony

Warren, Michael Anthony is an sole proprietor health care provider with primary practice located at 1603 Babcock Rd Unit 251 , San Antonio TX 78229-4708. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Adult Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Warren, Michael Anthony can be contacted via phone (405) 361-7859.

Contact Information

Primary practice address
1603 Babcock Rd Unit 251 San Antonio TX 78229-4708
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 89877 Oklahoma
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 89877 Oklahoma

Profile Details

NPI number 1104215383
LBN Legal business name Warren, Michael Anthony
Credentials APRN-CNP, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2015
Last updated Nov 9th, 2024 - about 2 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 1104215383 NPPES
Oklahoma MEDICAID 200582360A

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