Provider Demographics
NPI:1922872670
Name:OASIS CHIROPRACTIC & LASER CENTER LLC
Entity Type:Organization
Organization Name:OASIS CHIROPRACTIC & LASER CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:NIX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-385-2448
Mailing Address - Street 1:231 E GRAY ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7205
Mailing Address - Country:US
Mailing Address - Phone:405-579-9844
Mailing Address - Fax:405-364-4611
Practice Address - Street 1:231 E GRAY ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7205
Practice Address - Country:US
Practice Address - Phone:405-579-9844
Practice Address - Fax:405-364-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty