| Tabi Clinic Llc | |
|
307 4th Ave Se Ardmore OK 73401-8216 | |
| (580) 300-3010 | |
| Not Available |
| Full Name | Tabi Clinic Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 307 4th Ave Se, Ardmore, Oklahoma |
| Authorized Official Name and Position | Rowlena Hartman (DIRECTOR) |
| Authorized Official Contact | 5802210315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabi Clinic Llc 100 E St Sw Ste 200 Ardmore OK 73401-4722 Ph: () - | Tabi Clinic Llc 307 4th Ave Se Ardmore OK 73401-8216 Ph: (580) 300-3010 |
| NPI Number | 1285347047 |
|---|---|
| Provider Enumeration Date | 12/26/2022 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285347047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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