Provider Demographics
NPI:1093037392
Name:MICHAELS, MURRAY FRANK X
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:FRANK
Last Name:MICHAELS
Suffix:X
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14422 S URBANA CT
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-8010
Mailing Address - Country:US
Mailing Address - Phone:918-943-6080
Mailing Address - Fax:
Practice Address - Street 1:3132 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6308
Practice Address - Country:US
Practice Address - Phone:918-749-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8430183500000X
MO042584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist