Provider Demographics
NPI:1659426047
Name:LARRY WARNER, D.C., P.A.
Entity Type:Organization
Organization Name:LARRY WARNER, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:972-781-1244
Mailing Address - Street 1:6217 CHAPEL HILL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8478
Mailing Address - Country:US
Mailing Address - Phone:972-781-1244
Mailing Address - Fax:972-781-1355
Practice Address - Street 1:6217 CHAPEL HILL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8478
Practice Address - Country:US
Practice Address - Phone:972-781-1244
Practice Address - Fax:972-781-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609385Medicare ID - Type Unspecified
TXU80597Medicare UPIN