Provider Demographics
NPI:1407826605
Name:WARHOE, KIRSTEN ANNE (MD)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:ANNE
Last Name:WARHOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 BURNET RD
Mailing Address - Street 2:STE 200 BLDG 7
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5215
Mailing Address - Country:US
Mailing Address - Phone:512-334-2654
Mailing Address - Fax:512-623-5290
Practice Address - Street 1:11111 RESEARCH BLVD
Practice Address - Street 2:STE LL2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5264
Practice Address - Country:US
Practice Address - Phone:512-334-5201
Practice Address - Fax:512-623-5290
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ28362085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119253605Medicaid
TX119253605Medicaid
TX271999YN57Medicare PIN
TX271999YN56Medicare PIN