Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Warnock

Individual provider Medical Physician Assistant · NPI 1174945372

Autumn Warnock is a Physician Assistant in Tyler, Texas. Qualified in 2013, 13 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

820 S Baxter Ave
Tyler, TX 75701-2225
Phone: (903) 592-6355
Fax: (903) 592-7680
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (TX)

Record details

NPI number1174945372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2014
Last updated in NPPESAugust 10, 2016
Mailing address2017 Rickety Ln, Tyler, TX 75703-1706

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler