Mark Warren, PA-C
Physician Assistant, Medical in Abilene, TX. Individual provider (NPI-1).
NPI number1124384243
StatusActive
Last updated in NPPESApr 3, 2012
Details
- NPI
- 1124384243
- Entity type
- Individual (NPI-1)
- Name
- Mark Warren
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2012
- Last updated
- Apr 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA00105 | TX | Yes |
Practice location
1111 Industrial Blvd#2
Abilene, TX 79602-7929
Phone 325-795-9140 · Fax 325-795-9150
Mailing address
Po Box 7104Abilene, TX 79608-7104
Phone 325-795-9140 · Fax 325-795-9150
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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