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
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77340-4223
- Phone
- (936) 294-0152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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