Individual
DR. STACEY LYNN WARNER
Active
Individual
DR. STACEY LYNN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0069660
CO
207L00000X
Anesthesiology Physician
BP1-0017196
TX
207L00000X
Anesthesiology Physician
Primary
M9080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199173906
—
TX
01
—
8EH631
BCBS
TX
01
—
P01446846
RR
TX
Enumeration date
06/14/2007
Last updated
04/28/2023
Update your record
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