=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528027232
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LUIS A MURRAIN D.O.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2006
-----------------------------------------------------
Last Update Date | 10/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7005 N MILBURN AVE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93722-2161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-493-5197
-----------------------------------------------------
Fax | 559-272-2171
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7257 N SIERRA VISTA AVE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93720-0157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-341-9729
-----------------------------------------------------
Fax | 253-473-6715
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 34-008379
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 10030
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------