Healthcare Provider Details

I. General information

NPI: 1578790267
Provider Name (Legal Business Name): MURRAY H. SHAPIRO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 WONDER WORLD DR STE 202
SAN MARCOS TX
78666-7590
US

IV. Provider business mailing address

PO BOX 1005
SAN MARCOS TX
78667-1005
US

V. Phone/Fax

Practice location:
  • Phone: 512-396-8565
  • Fax: 512-396-8567
Mailing address:
  • Phone: 512-396-8565
  • Fax: 512-396-8567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberP6267
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: