Provider Demographics
NPI:1972549889
Name:WARPULA PODIATRY, LLP
Entity Type:Organization
Organization Name:WARPULA PODIATRY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:WARPULA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:512-380-9555
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76540-0938
Mailing Address - Country:US
Mailing Address - Phone:254-634-6999
Mailing Address - Fax:254-200-4099
Practice Address - Street 1:1600 W 38TH ST
Practice Address - Street 2:STE. 318
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6400
Practice Address - Country:US
Practice Address - Phone:512-380-9555
Practice Address - Fax:512-380-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0005MDOtherBLUE CROSS BLUE SHIELD
TX170492601Medicaid
TX00900XMedicare PIN