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NPI Code Detail

MEDICARE: SERENA MURPHY MD

MEDICARE: SERENA MURPHY MD
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
1208C00000XColon & Rectal Surgery PhysicianU6770TX
2208C00000XColon & Rectal Surgery PhysicianA178783CA

General Provider Information

NPI Number : 1295198893
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENA MURPHY MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 714-509-2377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 04/01/2026

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