Healthcare Provider Details
I. General information
NPI: 1124438247
Provider Name (Legal Business Name): JAMES ERNESTO MURRAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/28/2014
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5319 CONSTANCE ST
NEW ORLEANS LA
70115-1922
US
IV. Provider business mailing address
5319 CONSTANCE ST
NEW ORLEANS LA
70115-1922
US
V. Phone/Fax
- Phone: 956-206-1477
- Fax:
- Phone: 956-206-1477
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 303688 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: