Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Weldon Tisdale Jr.

Individual provider Case Manager/Care Coordinator · NPI 1003420647

Weldon Tisdale Jr. is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3606 N Mlk Jr Blvd
Tulsa, OK 74106-6447
Phone: (918) 949-4212
Fax: (918) 949-4299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1003420647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address3606 N Mlk Jr Blvd, Tulsa, OK 74106-6447

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