Individual
MR. WARREN L. NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5534
(580) 585-5458
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5534
(580) 585-5458
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71393
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71393
OK MED LIC
OK
Enumeration date
01/12/2011
Last updated
01/12/2011
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