Individual
HEATHER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2537
(979) 776-2526
Mailing address
2800 S TEXAS AVE STE 102, BRYAN, TX 77802-5361
(936) 266-3513
(713) 852-2332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10148
TX
363AM0700X
Medical Physician Assistant
1789
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353388702
—
TX
Enumeration date
04/15/2014
Last updated
08/30/2022
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