NPI 1003420647
Weldon Tisdale
Practice location
- Address
- 3606 N Mlk Jr Blvd, Tulsa, OK 74106-6447
- Phone
- (918) 949-4212
- Fax
- (918) 949-4299
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003420647
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Sep 2020
- Record last updated
- 1 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.