Healthcare Provider Details

I. General information

NPI: 1457771628
Provider Name (Legal Business Name): ERIN ALEXIS MURPHY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3922 WISEMAN BLVD BLDG 1
SAN ANTONIO TX
78251-1668
US

IV. Provider business mailing address

3922 WISEMAN BLVD BLDG 1
SAN ANTONIO TX
78251-1668
US

V. Phone/Fax

Practice location:
  • Phone: 210-938-9355
  • Fax:
Mailing address:
  • Phone: 210-938-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number75052
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberS7288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: