Individual provider · Type 1 NPI

Autumn Warnock

Medical Physician Assistant · Tyler, TX

NPI number 1174945372 Active

Practice location

1100 S. Beckham, Ste. 2200
Tyler, TX 75701

Fax (903) 533-8811

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1174945372

Autumn Warnock's National Provider Identifier is 1174945372, issued on Jan 8, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tyler, TX. The record was last updated on Sep 23, 2026.