Provider Demographics
NPI:1386826147
Name:JEFFREY R. WARMAN, M.D., P.A.
Entity Type:Organization
Organization Name:JEFFREY R. WARMAN, M.D., P.A.
Other - Org Name:PEDIATRIC ORTHOPEDIC AND SCOLIOSIS CENTER OF SOUTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:WARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-497-4186
Mailing Address - Street 1:513 GARRATY RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5940
Mailing Address - Country:US
Mailing Address - Phone:210-497-4186
Mailing Address - Fax:210-497-7186
Practice Address - Street 1:18626 HARDY OAK BLVD
Practice Address - Street 2:STE 320
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4210
Practice Address - Country:US
Practice Address - Phone:210-497-4186
Practice Address - Fax:210-497-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2837207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U6060OtherBCBS