Organization
WARREN CLINIC SOUTH FAMILY MEDICINE SOONERCARE GROUP
Active
Parent organization
WARREN CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARREN CLINIC
Authorized official
CATHEY RAE DUPLISSEY (CREDENTIALING COORDINATOR)
(918) 488-6687
Entity
Organization
Contact information
Practice address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Mailing address
10505 E 91ST ST, SUITE 110, TULSA, OK 74133-5801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100739490E
—
OK
Enumeration date
06/02/2008
Last updated
11/13/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us