Pedistat

LBN: Pedistat, Pllc
Pedistat is an health care organization with primary practice located at 3354 E 51St St , Tulsa OK 74135-3512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Pedistat, Pllc can be contacted via phone (918) 853-1634, or through Warlick, Ethan Aaeon via phone (918) 853-1634.

Contact Information

Primary practice address
3354 E 51St St Tulsa OK 74135-3512
Phone: (918) 853-1634
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warlick, Ethan Aaeon Doctor of Medicine (MD)
Phone: (918) 853-1634

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 21053 Oklahoma

Profile Details

NPI number 1639515471
LBN Legal business name Pedistat, Pllc
DBA Doing business as Pedistat
Authorized official Warlick, Ethan Aaeon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2013
Last updated May 20th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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