Provider Demographics
NPI:1942014535
Name:WARREN, TAMEKA M
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:M
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12420 WARE SEGUIN RD
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-6132
Mailing Address - Country:US
Mailing Address - Phone:210-818-8292
Mailing Address - Fax:
Practice Address - Street 1:12420 WARE SEGUIN RD
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-6132
Practice Address - Country:US
Practice Address - Phone:210-818-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer