# WARREN CLINIC INC

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

## Provider details

- **NPI number:** 1174582282
- **Authorized official:** CATHEY RAE DUPLISSEY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (918) 488-6687

## Contact information

- **Practice address:** 6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3310
- **Practice address phone:** (918) 488-6001
- **Practice address fax:** (918) 488-6010
- **Mailing address:** 6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
- **Mailing address phone:** (918) 488-6001
- **Mailing address fax:** (918) 502-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | OK | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 09/18/2026
