OrganizationActive
Invictus Healthcare System, PLLC
NPI 1639575160 · Neurological Surgery Physician · Tulsa, OK
Provider details
- NPI number
- 1639575160
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Wilson, Business Owner(918) 994-4000
- License
- 25510 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9709 E 79th St
Tulsa, OK 74133-4566
Phone: (918) 994-4000
Fax: (918) 994-4090
Approximate (ZIP-level) locationGet directions
Mailing address
9709 E 79th St
Tulsa, OK 74133-4566
Other names (DBA / former)
- Doing business as
- Invictus Healthcare System
Registry dates
- Enumerated
- 2014-11-11
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.