MEDICARE: PAUL M MURATTA D.O.

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
1	174400000X	Specialist	D0536	AL
2	207L00000X	Anesthesiology Physician	S8470	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1588783351	OTHER	TX	TX MEDICAL LICENSE S8470

General Provider Information

NPI Number	:	1588783351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL M MURATTA D.O.

Provider Business Mailing Address
First Line	:	15223 PARK ESTATES LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3657
Country	:	US
Telephone Number	:	256-504-5232
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 MARINA BAY DR STE 120
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3982
Country	:	US
Telephone Number	:	281-549-6686
Fax Number	:	877-409-3634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	10/20/2023

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