Healthcare Provider Details

I. General information

NPI: 1801436035
Provider Name (Legal Business Name): VIZION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 E STEVE OWENS BLVD
MIAMI OK
74354-7730
US

IV. Provider business mailing address

102 E STEVE OWENS BLVD
MIAMI OK
74354-7730
US

V. Phone/Fax

Practice location:
  • Phone: 918-919-3990
  • Fax:
Mailing address:
  • Phone: 918-919-3990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARI LYNN MURPHREE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 918-541-6709