<Unavail>
LBN: Invictus Healthcare System, Pllc
<Unavail> is an health care organization with primary practice located at 9709 E 79Th St , Tulsa OK 74133-4566. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
Invictus Healthcare System, Pllc can be contacted via phone (918) 994-4000, or through Wilson, Gregory L via phone (918) 994-4000.
Contact Information
Primary practice address
9709 E 79Th St
Tulsa OK 74133-4566
Phone: (918) 994-4000
Fax: (918) 994-4090
Website:
Authorized official contact:
Name: Wilson, Gregory L Doctor of Osteopathy (DO)
Phone: (918) 994-4000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25510 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2574 | Oklahoma |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 4272 | Oklahoma |
Profile Details
| NPI number | 1639575160 |
|---|---|
| LBN Legal business name | Invictus Healthcare System, Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Wilson, Gregory L Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2014 |
| Last updated | Dec 7th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639575160 | NPPES |
| Oklahoma | MEDICAID | 200563910A |
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