Doctor Name: | EVERETT L WARTHAN |
NPI Number: | 1003808379 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E1960 |
Business Practice Address: | 3500 S Ih 35 Belton, TX - 765139426 |
Business Phone Number: | 2549392100 |
Business Fax Number: | |
Mailing Address: | 3500 S Ih 35, BELTON |
State: | TX |
Postal Code: | 765139426 |
Phone Number: | 2549392100 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | E1960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |