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NPI Code Detail

MEDICARE: CORBIN R VINSON DO

MEDICARE: CORBIN R VINSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1043164387
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORBIN R VINSON DO
Provider Business Mailing Address
First Line : 2725 W 14TH ST
Second Line :
City : SULPHUR
State : OK
Zip : 73086-1113
Country : US
Telephone Number : 580-618-6888
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 580-618-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ CORBIN R VINSON DO” Practice Location

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