Individual
LARRY A WARMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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