# ROBERT T. WARHOLA, D.O., P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134395015
- **Authorized official:** DR. ROBERT THOMAS WARHOLA D.O. (PRESIDENT)
- **Authorized official phone:** (409) 736-2800

## Contact information

- **Practice address:** 5885 W PORT ARTHUR RD, PORT ARTHUR, TX 77640-1754
- **Practice address phone:** (409) 736-2800
- **Practice address fax:** (409) 736-0361
- **Mailing address:** 5885 W PORT ARTHUR RD, P. O. BOX 5549, PORT ARTHUR, TX 77640-1754
- **Mailing address phone:** (409) 736-2800
- **Mailing address fax:** (409) 736-0361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D4875 | TX | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00J017 | BLUE CROSS BLUE SHIELD OF TEXAS | — |
| 05 | — | 1105819-01 | — | TX |
| 01 | — | 4584936 | AETNA | TX |