Healthcare Provider Details

I. General information

NPI: 1104985662
Provider Name (Legal Business Name): JAMES A. MURRAY M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 S YALE AVE SUITE 101
TULSA OK
74136-7823
US

IV. Provider business mailing address

PO BOX 3478
TULSA OK
74101-3478
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-0484
  • Fax: 918-494-2754
Mailing address:
  • Phone: 918-492-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number9172
License Number StateOK

VIII. Authorized Official

Name: DR. JAMES ANDREW MURRAY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 918-492-0484