Organization
NR NORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BALES CEO/OWNER (AUTHORIZED OFFICIAL)
(405) 953-7221
Entity
Organization
Contact information
Practice address
640 24TH AVE SW, NORMAN, OK 73069-3913
(405) 295-7833
(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
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/18/2022
Last updated
10/10/2025
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