Organization · Type 2 NPI

Victory Health Clinic LLC

Clinic/Center · Tishomingo, OK

NPI number 1912965898 Active

Practice location

714 E Main St
Tishomingo, OK 73460-2350

Fax (580) 371-2282

Mailing address

705 W Main St
Tishomingo, OK 73460-1734

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1912965898

Victory Health Clinic LLC's National Provider Identifier is 1912965898, issued on May 2, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tishomingo, OK. The record was last updated on Apr 20, 2008.