Individual
BARBARA SUE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15498 COUNTY ROAD 4140, LINDALE, TX 75771
(903) 504-0779
Mailing address
PO BOX 2261, LINDALE, TX 75771-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
605660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605660
—
TX
Enumeration date
02/19/2018
Last updated
02/19/2018
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