Physician Compare National (NPI:1235293085)

HEALTHCARE PROVIDER: JAVIER MURILLO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235293085
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830130491
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080411000466
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MURILLO
	Individual professional last name
Provider First Name	JAVIER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STANFORD UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY MEDICINE ASSOCIATES PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9335197391
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1500 S BRYAN RD
	Group Practice or individual's line 1 address
City	MISSION
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785726672
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9565803100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450869
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS HOSPITAL AT RENAISSANCE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450176
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MISSION REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y