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Organization
NR ENID LLC
Active
Organization
NR ENID LLC
Active
Other names
NERVE RENEWAL ENID
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BALES (OWNER/CEO)
(405) 953-7221
Entity
Organization
Contact information
Practice address
915 E OWEN K GARRIOTT RD STE L, ENID, OK 73701-6155
(405) 953-7221
(405) 669-3517
Mailing address
3705 NW 63RD ST STE 200, OKLAHOMA CITY, OK 73116-1937
(405) 953-7221
(405) 669-3517
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
08/13/2026
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