# VINEYARD MEDICAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vineyard Medical Care, Vineyard Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699668426
- **Authorized official:** DR. KYRA JEAN VINEYARD D.O. (OWNER)
- **Authorized official phone:** (918) 392-5555

## Contact information

- **Practice address:** 11917 S NORWOOD AVE, TULSA, OK 74137-5509
- **Practice address phone:** (918) 392-5555
- **Practice address fax:** (918) 392-5566
- **Mailing address:** 11917 S NORWOOD AVE \# 212, TULSA, OK 74137-5509
- **Mailing address phone:** (918) 392-5555
- **Mailing address fax:** (918) 392-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 06/13/2025