Individual
DR. FLOYD SCOTT VILLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
637 DELAWARE ST, PERRY, OK 73077-6635
(405) 987-3662
Mailing address
6404 S PRAIRIE RD, STILLWATER, OK 74074-6102
(469) 450-6280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4305
OK
111N00000X
Chiropractor
6497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001783201
—
TX
05
—
605062
—
TX
01
—
8M5360
BC/BS
TX
Enumeration date
06/07/2006
Last updated
07/15/2024
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