Victory Health Clinic LLC
NPI #1912965898 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1912965898
- Entity Type
- Organization
- Organization Name
- Victory Health Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 2, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 714 E MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-2350
- Phone
- (580) 371-8500
Authorized Official
- Name
- MRS. JOAN WEEMS, RN
- Title
- OWNER
- Phone
- (580) 371-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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| MR. Dan D. Horton, M.D. |
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|---|---|
| Refuge Behavioral Health Pllc | |
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