# EXPRESS FAMILY CARE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033754502
- **Authorized official:** JIMMY TISDALE APRN (MANAGER)
- **Authorized official phone:** (405) 470-1224

## Contact information

- **Practice address:** 7117 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5575
- **Practice address phone:** (405) 470-1224
- **Practice address fax:** (405) 217-0063
- **Mailing address:** 7117 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5575
- **Mailing address phone:** (405) 470-1224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2019
- **Last updated:** 02/13/2020