Organization
TABOR THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSY BRACKELIN (OWNER)
(405) 250-6639
Entity
Organization
Contact information
Practice address
1001 15TH AVE NW, ARDMORE, OK 73401-1803
(580) 798-5015
(580) 798-5018
Mailing address
1001 15TH AVE NW, ARDMORE, OK 73401-1803
(580) 798-5105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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