| NPI | 1235612235 |
|---|---|
| Former Legal Business Name | BALANCE MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN HENSON Owner 405-369-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-04-26 |