Healthcare Provider Details

I. General information

NPI: 1780727545
Provider Name (Legal Business Name): RANEY FAMILY CHIROPRACTIC CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6373 S MEMORIAL DR SUITE C
TULSA OK
74133-1950
US

IV. Provider business mailing address

6373 S MEMORIAL DR SUITE C
TULSA OK
74133-1950
US

V. Phone/Fax

Practice location:
  • Phone: 918-249-3500
  • Fax: 918-249-3500
Mailing address:
  • Phone: 918-249-3500
  • Fax: 918-249-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3304
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3519
License Number StateOK

VIII. Authorized Official

Name: DR. BOBI LARU RANEY
Title or Position: PARTNER
Credential: D.C., B.S.
Phone: 918-249-3500