Healthcare Provider Details

I. General information

NPI: 1629985072
Provider Name (Legal Business Name): VICTORIA BENEDEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E 16TH ST
TULSA OK
74119-4450
US

IV. Provider business mailing address

4679 S TROOST AVE
TULSA OK
74105-4821
US

V. Phone/Fax

Practice location:
  • Phone: 918-557-7356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: