MRS. Dyvette L Warren, PAC

NPI #1477872190 in Huntsville, Texas

Provider Information

NPI Number
1477872190
Entity Type
Individual
Name
MRS. Dyvette L Warren, PAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010

Practice Location

Address
179 INTERSTATE 45 S
Address 2
SUITE 300
State
Texas
ZIP Code
77340-4223
Phone
(936) 294-0152

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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