Provider Demographics
NPI:1902251663
Name:WARMOTH, TAYLOR BRIANNE (MD)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:BRIANNE
Last Name:WARMOTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-0002
Mailing Address - Country:US
Mailing Address - Phone:806-743-3150
Mailing Address - Fax:
Practice Address - Street 1:5220 80TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2862
Practice Address - Country:US
Practice Address - Phone:806-771-2400
Practice Address - Fax:806-771-7760
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10056149207R00000X
TXR8843207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine