Healthcare Provider Details

I. General information

NPI: 1548825581
Provider Name (Legal Business Name): VITALIS METABOLIC HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 NW 58TH ST STE 910-W
OKLAHOMA CITY OK
73112-4707
US

IV. Provider business mailing address

5030 N MAY AVE # 299
OKLAHOMA CITY OK
73112-6010
US

V. Phone/Fax

Practice location:
  • Phone: 405-653-9161
  • Fax: 405-653-9163
Mailing address:
  • Phone: 405-653-9161
  • Fax: 405-653-9163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN TODD MORGAN
Title or Position: PRESIDENT
Credential: DO
Phone: 405-653-9161