OrganizationActive
Advanced Family Care, PLLC
NPI 1104670884 · Family Medicine Physician · Tulsa, OK
Provider details
- NPI number
- 1104670884
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Reed, Owner(918) 921-5701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone: (918) 901-9701
Fax: (918) 901-9702
Approximate (ZIP-level) locationGet directions
Mailing address
9320 S Mingo Rd
Tulsa, OK 74133-5710
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2024-05-18
- Certified
- 2024-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.