Organization
EXPRESS FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY LEE TISDALE APRN (OWNER)
(405) 470-1224
Entity
Organization
Contact information
Practice address
7117 W. WILSHIRE BLVD, OKLAHOMA CITY, OK 73132
(405) 470-1224
(405) 217-0063
Mailing address
7117 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5575
(405) 470-1224
(405) 217-0063
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F0613916
OK
Other
Enumeration date
06/12/2015
Last updated
07/31/2025
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