| Victory Spinal Care Llc | |
|
5085 E 151st St S Ste B, Bixby, OK 74008-4016 | |
| (918) 366-7100 | |
| Not Available |
| Full Name | Victory Spinal Care Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5085 E 151st St S Ste B, Bixby, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932916863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Blake Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972379352 PECOS PAC ID: 7719407162 Enrollment ID: I20250228000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Spinal Care Llc 1424 Kurre Ln, Cape Girardeau, MO 63701-2254 Ph: () - | Victory Spinal Care Llc 5085 E 151st St S Ste B, Bixby, OK 74008-4016 Ph: (918) 366-7100 |
Dr. Kasey Michelle Nichols, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7100 E 151st St S, Bixby, OK 74008 Phone: 918-366-4461 Fax: 918-366-4460 | |
Brent Alan West, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 7100 E 151st St S, Bixby, OK 74008 Phone: 918-366-4461 | |
Brian Scott Hicks, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7100 E 151st St S, Bixby, OK 74008 Phone: 918-366-4461 Fax: 918-366-4460 | |
Dr. Eric Walsh Lehrman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12345 S Memorial Dr Ste 111, Bixby, OK 74008 Phone: 918-394-9400 | |
Brian S. Hicks D.c. Inc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 7100 E 151st St S, Bixby, OK 74008 Phone: 918-366-4461 Fax: 918-366-4460 | |
Dr. Michael Wayne Johnson, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7100 E 151st St S, Bixby, OK 74008 Phone: 918-691-7275 Fax: 918-366-4460 | |
Dr. Evlyn Kathryn Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5085 E 151st St S Ste B, Bixby, OK 74008 Phone: 918-366-7100 |