AUTUMN WARNOCK NPI 1174945372

NPI Information

  • NPI: 1174945372
  • Provider Name: AUTUMN WARNOCK
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 S BAXTER AVE
    TYLER, TX
    ZIP 75701
  • Phone: (903) 592-6355

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NPI Details

Autumn Warnock is a medical physician assistant in Tyler, TX with 13 years of experience. Autumn Warnock NPI is 1174945372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 S BAXTER AVE
TYLER, TX
ZIP 75701-225
Phone: (903) 592-6355
Fax: (903) 592-7680

The NPI 1174945372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 8/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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