Organization · Type 2 NPI
Resurgence Vitality, LLC
Health Service Clinic/Center · Edmond, OK
NPI number
1932088440
Active
Practice location
2901 Fairfax Dr Ste 100
Edmond, OK 73034-3521
Fax (866) 497-6393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1932088440
Resurgence Vitality, LLC's National Provider Identifier is 1932088440, issued on Aug 28, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Edmond, OK. The record was last updated on Jul 14, 2026.