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NPI Code Detail

MEDICARE: TIFFANY D MURRISH

MEDICARE: TIFFANY D MURRISH
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
1111N00000XChiropractor9244TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235168147OTHERNMTYPE I NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
39244OTHERTXTX LICENSE

General Provider Information

NPI Number : 1558568956
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIFFANY D MURRISH
Provider Business Mailing Address
First Line : PO BOX 1415
Second Line :
City : LOVINGTON
State : NM
Zip : 88260-1415
Country : US
Telephone Number : 806-752-0055
Fax Number : 575-739-2225
Provider Business Practice Location Address
First Line : 419 N AVENUE F
Second Line :
City : DENVER CITY
State : TX
Zip : 79323-2741
Country : US
Telephone Number : 806-752-0055
Fax Number : 575-739-2225
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. KATHLEEN TAYLOR
Credential :
Telephone Number : 806-752-0055
Provider Enumeration Date : 06/28/2007
Last Update Date : 10/23/2007

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Directions to “TIFFANY D MURRISH ” Practice Location

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