Organization
NR MIDWEST CITY LLC
Active
Organization
NR MIDWEST CITY LLC
Active
Other names
NERVE RENEWAL MIDWEST CITY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY COIT BALES CEO (CEO)
(405) 953-7221
Entity
Organization
Contact information
Practice address
8121 NATIONAL AVE STE 105, MIDWEST CITY, OK 73110-7570
(405) 694-4042
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
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
08/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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