# BALANCE MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Balance Medical, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235612235
- **Authorized official:** JUSTIN HENSON (OWNER)
- **Authorized official phone:** (405) 369-3504

## Contact information

- **Practice address:** 1019 WATERWOOD PKWY STE E-14, EDMOND, OK 73034-5332
- **Practice address phone:** (405) 369-3504
- **Practice address fax:** (405) 337-9639
- **Mailing address:** 1019 WATERWOOD PKWY STE E-14, EDMOND, OK 73034-5332
- **Mailing address phone:** (405) 369-3504
- **Mailing address fax:** (405) 337-9639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 04/26/2020