MEDICARE: OWEN MURPHY

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	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1659772358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OWEN MURPHY

Provider Business Mailing Address
First Line	:	1141 N LOOP 1604 E, SAN ANTONIO, TX 78232
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2066
Country	:	US
Telephone Number	:	210-598-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 N LOOP 1604 E, SAN ANTONIO, TX 78232
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-7823
Country	:	US
Telephone Number	:	210-598-2800
Fax Number	:

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

Provider Enumeration Date	:	09/12/2014
Last Update Date	:	08/03/2020

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Directions to “ OWEN MURPHY ” Practice Location

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