Individual
MRS. DYVETTE L WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
179 INTERSTATE 45 S, SUITE 300, HUNTSVILLE, TX 77340-4223
(936) 294-0152
(936) 294-9600
Mailing address
179 INTERSTATE 45 S, SUITE 300, HUNTSVILLE, TX 77340-4223
(936) 294-0152
(936) 294-9600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03155
TX
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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