Active NPI 1679647317 Individual Practitioner Male Practitioner

Dr. T Lynn Warthan , MD

Dermatology • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. T Warthan, MD is a certified Dermatology practicing in Nacogdoches, TX. With approximately 55 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1971, Dr. Warthan delivers high-quality medical care to the local community at 4730 NE STALLINGS DRIVE.

Dr. Warthan is affiliated with Warthan Dermatology Nacogdoches Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of precancer skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4730 Ne Stallings Drive

Nacogdoches, TX 75965

Telephone 9365646107

Fax 9365645124

Associated Practice Facility / Clinic

🏢 Warthan Dermatology Center Facility NPI 1003350760

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Nacogdoches, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +20.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Nacogdoches, TX (1210 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Warthan (55 Years) 55 Yrs

Nacogdoches Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,957	277	$18.00	$6.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,549	802	$299.36	$123.38
17004 Destruction of precancer skin growth, 15 or more growths	437	314	$424.40	$159.37
17000 Destruction of skin growth	408	335	$190.00	$47.05
17110 Destruction of up to 14 skin growths	384	321	$270.47	$92.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$400.55	$161.18
17111 Destruction of skin growth, 15 or more growths	180	156	$327.07	$107.25
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	135	115	$487.81	$156.28
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	122	109	$411.19	$132.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	118	110	$31.92	$15.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	96	82	$726.00	$237.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	94	74	$603.43	$197.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	25	$10.00	$0.98
77401 Radiation treatment delivery, superficial	75	13	$58.56	$38.87
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	74	13	$560.62	$252.63
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	56	52	$434.16	$147.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	25	$45.00	$13.71
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	44	39	$636.45	$209.15
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	30	$461.50	$162.42
10040 Acne surgery	28	25	$251.50	$94.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	21	$674.17	$237.73
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	22	20	$883.00	$287.08
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	21	20	$559.00	$197.11
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	21	20	$748.38	$255.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	20	17	$1642.40	$582.27
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$199.00	$87.42
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	14	$1527.14	$609.05
11900 Injection into skin growth, 1-7 growths	13	12	$123.54	$40.10
11102 Tangential biopsy of single skin lesion	13	12	$210.00	$58.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1388.00	$279.49
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	11	11	$497.64	$161.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	642	484	$272.73	$124.28
17003 Destruction of precancer skin growth, 2-14 growths	358	78	$18.00	$6.51
17004 Destruction of precancer skin growth, 15 or more growths	228	203	$413.00	$163.83
17111 Destruction of skin growth, 15 or more growths	184	170	$308.00	$110.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$383.00	$160.38
17110 Destruction of up to 14 skin growths	123	119	$258.00	$103.70
17000 Destruction of skin growth	108	104	$190.00	$47.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	21	$10.00	$1.04
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	34	$440.00	$158.09
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	40	37	$883.00	$295.13
11102 Tangential biopsy of single skin lesion	38	35	$210.00	$73.63
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$166.00	$87.78
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	21	$726.00	$254.82
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$385.00	$127.62
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	18	16	$523.00	$197.62
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	17	14	$1603.00	$562.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$661.00	$208.36
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	15	13	$707.00	$249.90
11900 Injection into skin growth, 1-7 growths	15	14	$115.00	$48.10
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	12	$470.00	$182.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	713	144	$18.00	$6.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	501	391	$248.00	$125.67
17000 Destruction of skin growth	191	177	$190.00	$51.81
17004 Destruction of precancer skin growth, 15 or more growths	174	154	$413.00	$166.43
99213 Established patient office or other outpatient visit, typically 15 minutes	135	126	$166.00	$88.96
17110 Destruction of up to 14 skin growths	134	128	$258.00	$95.14
17111 Destruction of skin growth, 15 or more growths	129	120	$308.00	$114.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$383.00	$162.52
G6003 Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev	110	15	$248.65	$144.95
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	72	60	$440.00	$163.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	12	$10.00	$1.12
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	39	37	$523.00	$195.58
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	36	32	$883.00	$296.88
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	26	$661.00	$246.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$248.00	$109.39
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	25	21	$470.00	$178.14
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	19	17	$707.00	$244.91
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	17	15	$1050.00	$348.20
77427 Radiation treatment management, 5 treatments	14	11	$460.68	$187.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,020	176	$18.00	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	520	403	$166.00	$89.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	330	$248.00	$128.24
17110 Destruction of up to 14 skin growths	303	276	$258.00	$103.96
17004 Destruction of precancer skin growth, 15 or more growths	291	239	$413.00	$164.22
17000 Destruction of skin growth	227	207	$190.00	$39.54
17111 Destruction of skin growth, 15 or more growths	164	145	$308.00	$116.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	135	20	$10.00	$1.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$248.00	$110.29
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	75	61	$883.00	$292.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$383.00	$165.46
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	51	41	$440.00	$160.50
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	41	36	$661.00	$238.58
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	37	32	$523.00	$193.72
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	32	26	$707.00	$240.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	18	$45.00	$13.98
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	16	16	$470.00	$179.00
10060 Simple or single drainage of skin abscess	11	11	$262.00	$94.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,925	331	$17.70	$5.93
99213 Established patient office or other outpatient visit, typically 15 minutes	1,609	826	$165.55	$73.67
17110 Destruction of up to 14 skin growths	561	441	$257.74	$103.21
17000 Destruction of skin growth	486	404	$187.28	$40.29
17004 Destruction of precancer skin growth, 15 or more growths	422	320	$411.82	$155.61
17111 Destruction of skin growth, 15 or more growths	239	206	$308.00	$117.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	224	24	$10.00	$1.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$247.53	$105.14
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	141	117	$844.27	$284.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	57	47	$659.31	$236.95
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	41	37	$507.90	$195.83
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	39	38	$704.34	$262.08
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	33	$437.65	$162.96
11102 Tangential biopsy of single skin lesion	33	33	$363.60	$92.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	22	$44.44	$14.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$248.00	$107.76
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$170.03	$73.52
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	19	17	$470.00	$164.38
77300 Calculation of radiation therapy dose	14	11	$230.82	$65.71
77332 Design and construction of simple radiation treatment device	14	11	$250.62	$45.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,253	491	$18.00	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	2,390	1,088	$166.00	$72.26
17110 Destruction of up to 14 skin growths	988	684	$258.00	$101.78
17000 Destruction of skin growth	821	599	$190.00	$36.92
17004 Destruction of precancer skin growth, 15 or more growths	524	377	$413.00	$147.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	386	386	$248.00	$105.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	357	43	$10.00	$1.60
17111 Destruction of skin growth, 15 or more growths	344	278	$308.00	$114.60
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	127	116	$883.00	$304.07
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	85	74	$661.00	$244.02
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	63	60	$707.00	$275.10
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	54	48	$440.00	$157.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	37	$45.00	$16.20
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	46	44	$523.00	$191.38
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	24	24	$470.00	$177.18
11102 Tangential biopsy of single skin lesion	15	13	$233.33	$92.37
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$171.00	$74.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,341	505	$17.80	$4.99
99213 Established patient office or other outpatient visit, typically 15 minutes	2,488	1,093	$166.02	$70.11
17110 Destruction of up to 14 skin growths	982	702	$257.96	$101.69
17000 Destruction of skin growth	859	610	$189.92	$38.04
17004 Destruction of precancer skin growth, 15 or more growths	625	443	$413.00	$138.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	428	428	$248.00	$103.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	406	51	$10.00	$1.79
17111 Destruction of skin growth, 15 or more growths	396	310	$308.00	$115.17
Q4131 Epifix or epicord, per square centimeter	375	14	$235.00	$157.92
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	159	136	$883.00	$298.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	92	78	$657.51	$252.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	44	$45.00	$19.36
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	60	56	$707.00	$251.78
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	56	55	$438.84	$172.17
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	55	51	$523.00	$197.81
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	25	23	$470.00	$189.84
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	20	11	$293.00	$144.66
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$726.00	$142.53
11100 Biopsy of single growth of skin and/or tissue	15	13	$336.08	$100.91
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	11	$500.00	$398.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,883	652	$18.00	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	2,931	1,296	$166.00	$67.31
17110 Destruction of up to 14 skin growths	1,283	886	$258.00	$95.64
17000 Destruction of skin growth	1,088	797	$190.00	$36.52
17004 Destruction of precancer skin growth, 15 or more growths	706	489	$413.00	$137.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	526	526	$248.08	$99.65
17111 Destruction of skin growth, 15 or more growths	402	318	$308.00	$113.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	298	44	$10.00	$1.81
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	166	145	$863.27	$288.02
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	79	68	$1603.00	$537.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	78	72	$661.00	$245.14
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	65	58	$440.00	$159.56
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	57	56	$701.18	$264.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	47	$1388.00	$241.96
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	50	49	$523.00	$182.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	39	$41.94	$23.19
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	39	36	$688.95	$172.88
11100 Biopsy of single growth of skin and/or tissue	38	37	$321.74	$71.94
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	32	27	$484.38	$357.06
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	32	30	$470.00	$170.42
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	28	27	$253.57	$120.94
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$171.00	$69.09
88331 Pathology examination of specimen during surgery, first tissue block	22	21	$246.82	$89.73
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	22	$438.68	$144.54
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	20	18	$403.00	$164.94
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	20	12	$955.00	$355.39
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	20	$1462.00	$538.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	16	$1055.00	$195.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$247.94	$99.45
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$525.00	$199.36

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX D8472

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Warthan Dermatology Nacogdoches Pllc

4730 Ne Stallings Dr, Nacogdoches, TX 759651615

Phone: 9365646107

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Lauren Davis , PA-C

Physician Assistant

NPI 1114521366

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2014

Registered at 4730 NE STALLINGS DRIVE, NACOGDOCHES, TX 75965 (Tel: 9365646107)

📍

Updated Business Mailing Address March 18, 2014

Registered at 4730 NE STALLINGS DRIVE, NACOGDOCHES, TX 75965 (Tel: 9365646107)

👤

Provider Name / Credentials Updated March 18, 2014

Recorded as T WARTHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2014

Dermatology (License #D8472 in TX)

🟢

Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679647317

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: March 18, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4730 Ne Stallings Drive

Nacogdoches, TX 75965

Phone: 9365646107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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