| Nr South Tulsa Llc | |
|
9101 S Toledo Ave Ste A Tulsa OK 74137-2719 | |
| (918) 398-0802 | |
| (405) 669-3517 |
| Full Name | Nr South Tulsa Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 9101 S Toledo Ave Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | Timothy C Bales (CEO/OWNER) |
| Authorized Official Contact | 4057246902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nr South Tulsa Llc 3705 Nw 63rd St Ste 101 Oklahoma City OK 73116-1937 Ph: (405) 724-6902 | Nr South Tulsa Llc 9101 S Toledo Ave Ste A Tulsa OK 74137-2719 Ph: (918) 398-0802 |
| NPI Number | 1871303313 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871303313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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