MEDICARE: JULIA K WARNOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	18650	OK

General Provider Information

NPI Number	:	1942226394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA K WARNOCK MD

Provider Business Mailing Address
First Line	:	PO BOX 268838
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73126-8838
Country	:	US
Telephone Number	:	918-660-3115
Fax Number	:	918-660-3119

Provider Business Practice Location Address
First Line	:	5310 E 31ST ST LOWR LEVEL
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-5018
Country	:	US
Telephone Number	:	918-236-4000
Fax Number	:	918-236-4001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	07/15/2021

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