OrganizationActive
Tabor Therapeutics LLC
NPI 1073335949 · Psychiatry Physician · Ardmore, OK
Provider details
- NPI number
- 1073335949
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessy Brackelin, Owner(405) 250-6639
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 15th Ave Nw
Ardmore, OK 73401-1803
Phone: (580) 798-5015
Fax: (580) 798-5018
Street-level locationGet directions
Mailing address
1001 15th Ave Nw
Ardmore, OK 73401-1803
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.