# WARREN CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073942975
- **Authorized official:** CATHEY R DUPLISSEY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (918) 488-6687

## Contact information

- **Practice address:** 6151 S YALE AVE, SUITE 1301, TULSA, OK 74136-1907
- **Practice address phone:** (918) 502-3200
- **Mailing address:** 6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
- **Mailing address phone:** (918) 488-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 22448 | OK | Yes |

## Other

- **Enumeration date:** 11/01/2013
- **Last updated:** 12/13/2018