Organization
KEITH C. WARREN, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH C. WARREN PH.D. (PRESIDENT)
(254) 722-9961
Entity
Organization
Contact information
Practice address
5020 LAKELAND CIR, SUITE B, WACO, TX 76710-2996
(254) 722-9961
(254) 399-9290
Mailing address
5020 LAKELAND CIR, SUITE B, WACO, TX 76710-2996
(254) 722-9961
(254) 399-9290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23289
TX
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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