Organization
NR SOUTH TULSA LLC
Active
Other names
Nerve Renewal South Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BALES (CEO/OWNER)
(405) 953-7221
Entity
Organization
Contact information
Practice address
9101 S TOLEDO AVE STE A, TULSA, OK 74137-2719
(918) 398-0802
(405) 669-3517
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
01/08/2025
Last updated
03/03/2025
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