| NPI | 1558063784 |
|---|---|
| Doing Business As | NERVE RENEWAL MIDWEST CITY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY COIT BALES CEO 405-953-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2025-03-03 |