Organization
BALANCE MEDICAL, INC.
Active
Other names
Balance Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HENSON (OWNER)
(405) 369-3504
Entity
Organization
Contact information
Practice address
1019 WATERWOOD PKWY STE E-14, EDMOND, OK 73034-5332
(405) 369-3504
(405) 337-9639
Mailing address
1019 WATERWOOD PKWY STE E-14, EDMOND, OK 73034-5332
(405) 369-3504
(405) 337-9639
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
04/26/2020
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