Organization
SOUTH TULSA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SHANE HARRIS DC (OWNER)
(918) 299-5559
Entity
Organization
Contact information
Practice address
930 WEST MAIN STREET, JENKS, OK 74037
(918) 299-5559
(844) 313-8408
Mailing address
930 WEST MAIN STREET, JENKS, OK 74037
(918) 299-5559
(844) 313-8408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3607
OK
Other
Enumeration date
04/17/2007
Last updated
12/07/2018
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