Organization
MAINLAND INFECTIOUS DISEASE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT WARNER M.D. (OWNER)
(409) 370-1087
Entity
Organization
Contact information
Practice address
1125 HIGHWAY 3 N STE 100A, TEXAS CITY, TX 77591-4047
(409) 539-6278
(409) 419-1108
Mailing address
PO BOX 57579, WEBSTER, TX 77598-7579
(409) 370-1087
(409) 419-1108
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J9932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209594501
—
TX
01
—
CH4054
PALMETTO GBA
TX
Enumeration date
02/05/2008
Last updated
11/01/2011
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