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VIBRANT LIFE DIRECT CARE, PLLC
NPI 1295365302
Family Medicine in Mustang, OK

Active since January 17, 2020
501 N MUSTANG RD STE B, MUSTANG, OK 73064(405) 708-3385(800) 488-3294 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vibrant Life Direct Care, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANT LIFE DIRECT CARE, PLLC (NPI 1295365302) is a healthcare organization registered as a family medicine in Mustang, Oklahoma and active in the NPI registry since January 2020. The organization lists Lydia J. Dennis, Owner, as its authorized official.

NPPES Registry Identity

NPI1295365302
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIBRANT LIFE DIRECT CARE, PLLC
Location Address501 N MUSTANG RD STE BMustang, OK 73064-7044
Mailing Address5225 E Tyler DrTuttle, OK 73089-8305 · (405) 708-3385
Phone(405) 708-3385
Fax(800) 488-3294
Organization SubpartNo
Authorized OfficialLydia J. DennisOwner · (405) 708-3385
Enumeration DateJanuary 17, 2020
✔ NPI 1295365302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 N MUSTANG RD STE B, Mustang, OK 73064
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Other Names 1

Doing Business AsVibrant Life Direct Care, Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrant Life Direct Care, PLLC's NPI number?

The NPI number for Vibrant Life Direct Care, PLLC is 1295365302. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Vibrant Life Direct Care, PLLC located?

Vibrant Life Direct Care, PLLC is located at 501 N Mustang Rd Ste B, Mustang, OK 73064. The listed phone number is (405) 708-3385.

What is Vibrant Life Direct Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vibrant Life Direct Care, PLLC was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.