Individual
DR. DOUGLAS WADE WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3445 EXECUTIVE CENTER DRIVE, SUITE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814
Mailing address
3445 EXECUTIVE CENTER DRIVE, SUITE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 439-2814
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25708
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P2395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305116101
—
TX
Enumeration date
06/25/2007
Last updated
03/18/2014
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