Individual
LARRY A WARMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 21ST ST STE 200, LUBBOCK, TX 79410-1006
(806) 687-0338
(806) 687-4326
Mailing address
4901 S LOOP 289 UNIT 65309, LUBBOCK, TX 79464-6956
(806) 794-8413
(806) 407-3138
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J4599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086JP
BLUE CROSS BLUE SHIELD
TX
05
—
117567107
—
TX
01
—
223865699
TRICARE
—
Enumeration date
09/16/2005
Last updated
05/18/2018
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