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Organization
EXPRESS FAMILY CARE NORTHWEST
Active
Organization
EXPRESS FAMILY CARE NORTHWEST
Active
Other names
Express Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TISDALE APRN (MANAGER)
(405) 470-1224
Entity
Organization
Contact information
Practice address
7117 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5575
(405) 470-1224
(405) 217-0063
Mailing address
7117 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5575
(405) 470-1224
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/08/2019
Last updated
02/13/2020
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