Invictus Healthcare System

LBN: Invictus Healthcare System, Pllc
Invictus Healthcare System 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
Fax: (918) 994-4090
Website:
Authorized official contact:
Name: Wilson, Gregory L Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #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 Invictus Healthcare System
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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639575160 NPPES
Oklahoma MEDICAID 200563910A

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