Organization · Type 2 NPI
Vibrant Life Direct Care, PLLC
Primary Care Clinic/Center · Tuttle, OK
NPI number
1730880212
Active
Practice location
2618 E Highway 37 Ste 100
Tuttle, OK 73089-8479
Fax (800) 488-3294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1730880212
Vibrant Life Direct Care, PLLC's National Provider Identifier is 1730880212, issued on Mar 13, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tuttle, OK. The record was last updated on Mar 13, 2023.