Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4045 | OK |
NPI | 1427119478 |
---|---|
Provider Name | Dr. Timothy Joshua Nix |
First Address | Norman, OK 73069-7205 |
Second Address | Norman, OK 73069-7205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 06/12/2013 |