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Organization
VINEYARD MEDICAL CARE, LLC
Active
Organization
VINEYARD MEDICAL CARE, LLC
Active
Other names
Vineyard Medical Care, Vineyard Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYRA JEAN VINEYARD D.O. (OWNER)
(918) 392-5555
Entity
Organization
Contact information
Practice address
11917 S NORWOOD AVE, TULSA, OK 74137-5509
(918) 392-5555
(918) 392-5566
Mailing address
11917 S NORWOOD AVE # 212, TULSA, OK 74137-5509
(918) 392-5555
(918) 392-5566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
05/30/2025
Last updated
06/13/2025
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