| Balance Medical, Inc. | |
|
1019 Waterwood Pkwy Ste E-14 Edmond OK 73034-5332 | |
| (405) 369-3504 | |
| (405) 337-9639 |
| Full Name | Balance Medical, Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1019 Waterwood Pkwy Ste E-14, Edmond, Oklahoma |
| Authorized Official Name and Position | Justin Henson (OWNER) |
| Authorized Official Contact | 4053693504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Medical, Inc. 1019 Waterwood Pkwy Ste E-14 Edmond OK 73034-5332 Ph: (405) 369-3504 | Balance Medical, Inc. 1019 Waterwood Pkwy Ste E-14 Edmond OK 73034-5332 Ph: (405) 369-3504 |
| NPI Number | 1235612235 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 04/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235612235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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