MEDICARE: ARIEL MICHELLE MURRAY DDS

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	1223P0221X	Pediatric Dentistry	36156	TX

General Provider Information

NPI Number	:	1740786698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL MICHELLE MURRAY DDS

Provider Business Mailing Address
First Line	:	224 W GUENTHER
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78204-1420
Country	:	US
Telephone Number	:	469-222-7565
Fax Number	:

Provider Business Practice Location Address
First Line	:	3949 FREDERICKSBURG RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3231
Country	:	US
Telephone Number	:	210-265-3361
Fax Number	:

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

Provider Enumeration Date	:	03/31/2018
Last Update Date	:	08/31/2022

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