Individual
AUTUMN WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S BAXTER AVE, TYLER, TX 75701-2225
(903) 592-6355
(903) 592-7680
Mailing address
2017 RICKETY LN, TYLER, TX 75703-1706
(903) 533-8811
(903) 533-8811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
01/08/2014
Last updated
08/10/2016
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