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TABOR THERAPEUTICS LLC
NPI 1073335949
Psychiatry & Neurology - Psychiatry in Ardmore, OK

Active since October 30, 2024
1001 15TH AVE NW, ARDMORE, OK 73401(580) 798-5015(580) 798-5018 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tabor Therapeutics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABOR THERAPEUTICS LLC (NPI 1073335949) is a healthcare organization registered as a psychiatry in Ardmore, Oklahoma and active in the NPI registry since October 2024. The organization lists Jessy Brackelin, Owner, as its authorized official.

NPPES Registry Identity

NPI1073335949
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTABOR THERAPEUTICS LLC
Location Address1001 15TH AVE NWArdmore, OK 73401-1803
Mailing Address1001 15th Ave NwArdmore, OK 73401-1803 · (580) 798-5105
Phone(580) 798-5015
Fax(580) 798-5018
Organization SubpartNo
Authorized OfficialJessy BrackelinOwner · (405) 250-6639
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1073335949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1001 15TH AVE NW, Ardmore, OK 73401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HEALTH SERVICES-SOUTHERN REGION, LLC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1001 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3737
LAURA JOHNSON LPN
Licensed Practical Nurse
1001 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3737
MCKOWN CLINIC PLLC
Clinic/Center
1001 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 226-7181
WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC
Pain Medicine (Pain Medicine)
1001 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-3737
KRISTY DAWN FORD MS
Counselor
1001 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 798-5015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabor Therapeutics LLC's NPI number?

The NPI number for Tabor Therapeutics LLC is 1073335949. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Tabor Therapeutics LLC located?

Tabor Therapeutics LLC is located at 1001 15th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 798-5015.

What is Tabor Therapeutics LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Tabor Therapeutics LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.