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Individual

DAVID WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3201 W STATE HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6800
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
125601
AK
363L00000X
Nurse Practitioner
AP127410
TX
367500000X
Certified Registered Nurse Anesthetist
1191537
TX
367500000X
Certified Registered Nurse Anesthetist
95002575
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127410
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345655006
TX
01
859417
MEDICARE
TX
01
8LG098
BCBS
TX
01
P02352165
MEDICARE RAIL ROAD
TX
01
P02352188
MEDICARE RAIL ROAD
TX
Enumeration date
02/10/2015
Last updated
06/05/2025
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