Provider Demographics
NPI:1285826115
Name:WARREN, SALLY ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:ANN
Last Name:WARREN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:ANN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2616 N LOY LAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2535
Mailing Address - Country:US
Mailing Address - Phone:903-892-3889
Mailing Address - Fax:903-892-3749
Practice Address - Street 1:2616 N LOY LAKE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2535
Practice Address - Country:US
Practice Address - Phone:903-892-3889
Practice Address - Fax:903-892-3749
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1881213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery