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
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