Individual
BRYCE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6255
(210) 292-7934
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085628A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01085628A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
W0772
TX
207RP1001X
Pulmonary Disease Physician
Primary
01085628A
IN
207RP1001X
Pulmonary Disease Physician
W0772
TX
Other
Enumeration date
03/09/2019
Last updated
04/23/2026
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