Organization
NR ARDMORE LLC
Active
Organization
NR ARDMORE LLC
Active
Other names
NERVE RENEWAL ARDMORE
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BALES (OWNER/CEO)
(405) 724-6902
Entity
Organization
Contact information
Practice address
2015 W BROADWAY ST STE 10B, ARDMORE, OK 73401-2621
(405) 724-6902
(405) 669-3517
Mailing address
3705 NW 63RD ST STE 200, OKLAHOMA CITY, OK 73116-1937
(405) 724-6902
(405) 724-6902
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up