Provider Demographics
NPI:1285723767
Name:WARMINK, CORWIN A (MD)
Entity type:Individual
Prefix:
First Name:CORWIN
Middle Name:A
Last Name:WARMINK
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-3199
Practice Address - Fax:682-885-7499
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7939207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089994004Medicaid
TX2110717OtherFIRSTHEALTH PIN
TX089994007OtherMEDICAID CSHCN
TX10031497OtherAMERIGROUP PIN
TX137345805Medicaid
TX00L42VOtherBCBSTX GRP PIN
TX089994005Medicaid
TX138252100OtherFIRSTCARE PIN
1669442042OtherGRP NPI NUMBER
TX137283103Medicaid
TX1987770OtherUHC PIN
TX6291935OtherCIGNA PIN
TX8H8780OtherBCBSTX IND PIN
TX9280370OtherPHCS PIN
TX089994006Medicaid
TX112846OtherSUPERIOR PIN
TX7214148OtherAETNA PIN
TX7214148OtherAETNA PIN
1669442042OtherGRP NPI NUMBER
TX137283103Medicaid
TX00L42VMedicare PIN