Provider Demographics
NPI:1740751437
Name:DESERVE VICTORY LLC
Entity Type:Organization
Organization Name:DESERVE VICTORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-531-7939
Mailing Address - Street 1:6118 LINCOLNSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4508
Mailing Address - Country:US
Mailing Address - Phone:301-254-5571
Mailing Address - Fax:972-692-0426
Practice Address - Street 1:6118 LINCOLNSHIRE CT
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4508
Practice Address - Country:US
Practice Address - Phone:301-254-5571
Practice Address - Fax:972-692-0426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty