Provider Demographics
NPI:1720069859
Name:JANES, WILLIAM WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WARREN
Last Name:JANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16023 VIA SHAVANO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2374
Mailing Address - Country:US
Mailing Address - Phone:210-615-2225
Mailing Address - Fax:210-615-8432
Practice Address - Street 1:16023 VIA SHAVANO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2374
Practice Address - Country:US
Practice Address - Phone:210-615-2225
Practice Address - Fax:210-615-8432
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1700208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ1700OtherTEXAS MEDICAL LICENSE
TX1299919-03Medicaid
TXJ1700OtherTEXAS MEDICAL LICENSE
TX1299919-03Medicaid