Vibrant Life Direct Care, PLLC
Vibrant Life Direct Care, PLLC is a Family Medicine Physician in Mustang, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
501 N Mustang Rd Ste BMustang, OK 73064-7044
Phone: (405) 708-3385
Fax: (800) 488-3294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1295365302 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lydia Dennis — Owner · (405) 708-3385 |
| Other names | Vibrant Life Direct Care, Pllc |
| NPI enumerated | January 17, 2020 |
| Last updated in NPPES | January 17, 2020 |
| Certification date | January 17, 2020 |
| Mailing address | 5225 E Tyler Dr, Tuttle, OK 73089-8305 |
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Rebecca Biorato Inc
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Ilona Dobrowolska Samara, MD
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Dr. Miriam Elaine Thompson-Mathew, MD
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Leslie Williams, DO
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Thomas Wayne Wiseman, DO
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