Organization
PEDISTAT, PLLC
Active
Other names
PediStat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN AARON WARLICK M.D. (MEDICAL DIRECTOR)
(918) 928-7828
Entity
Organization
Contact information
Practice address
4710 E 51ST ST, TULSA, OK 74135-3704
(918) 928-7828
Mailing address
4710 E 51ST ST, TULSA, OK 74135-3704
(918) 928-7828
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
21053
OK
Other
Enumeration date
05/20/2013
Last updated
12/01/2025
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