Provider Demographics
NPI:1972630507
Name:MCLAUGHLIN, DARLENE WARRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:WARRICK
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GWENDA
Other - Middle Name:DARLENE
Other - Last Name:WARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2900 E 29TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2622
Mailing Address - Country:US
Mailing Address - Phone:979-774-8200
Mailing Address - Fax:979-776-6905
Practice Address - Street 1:8441 STATE HIGHWAY 47 STE 1400
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-3208
Practice Address - Country:US
Practice Address - Phone:979-774-8200
Practice Address - Fax:877-607-5854
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF69362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116069906Medicaid
TX8BR227OtherBCBS
TX8BR227OtherBCBS