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NPI Code Detail

MEDICARE: DR. TSR MURUGAN MD

MEDICARE: DR. TSR MURUGAN 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
1207RN0300XNephrology PhysicianL3033TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00085454OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28226B0OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1598757387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TSR MURUGAN MD
Provider Business Mailing Address
First Line : 1000 W CANNON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3029
Country : US
Telephone Number : 817-877-5858
Fax Number : 817-335-4418
Provider Business Practice Location Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-255-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 03/30/2026

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