Healthcare Provider Details

I. General information

NPI: 1982895546
Provider Name (Legal Business Name): CHRISTOPHER HAYDEN MURRAY RCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PKWY STE. 500
BOCA RATON FL
33487-2773
US

IV. Provider business mailing address

3110 SW 28TH AVE
AMARILLO TX
79109-3170
US

V. Phone/Fax

Practice location:
  • Phone: 800-875-8999
  • Fax: 561-367-1175
Mailing address:
  • Phone: 817-480-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XC2901X
TaxonomyCardiovascular Invasive Specialist/Technologist
License Number00054198
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: