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NPI Code Detail

MEDICARE: DR. SERGIO MURILLO M D

MEDICARE: DR. SERGIO MURILLO M D
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
1207L00000XAnesthesiology PhysicianL5840TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01446591OTHERTXRR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38EH627OTHERTXBCBS

General Provider Information

NPI Number : 1972508257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERGIO MURILLO M D
Provider Business Mailing Address
First Line : PO BOX 840853
Second Line :
City : DALLAS
State : TX
Zip : 75284-0865
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Provider Business Practice Location Address
First Line : 6606 LBJ FWY
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75240-6533
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/20/2020

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Directions to “ DR. SERGIO MURILLO M D” Practice Location

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