Provider Demographics
NPI:1407925886
Name:WARACH, STEVEN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:WARACH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N. I35
Mailing Address - Street 2:UT SOUTHWESTERN MEDICAL CENTER, SUITE 2.240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701
Mailing Address - Country:US
Mailing Address - Phone:512-324-7348
Mailing Address - Fax:512-324-7341
Practice Address - Street 1:1400 N. I35
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701
Practice Address - Country:US
Practice Address - Phone:512-324-8300
Practice Address - Fax:512-324-8301
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP19462084V0102X
MDD00543552084V0102X
DCMD329122084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX314763901Medicaid
TX314763901Medicaid