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NPI Code Detail

MEDICARE: MASON MURPHY STROOPE ATP

MEDICARE: MASON MURPHY STROOPE ATP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225CA2500XAssistive Technology Supplier Rehabilitation Counselor88819TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1213993OTHERTXCOTA

General Provider Information

NPI Number : 1083113153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASON MURPHY STROOPE ATP
Provider Business Mailing Address
First Line : 8916 OAK GROVE RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-5124
Country : US
Telephone Number : 817-682-5579
Fax Number :
Provider Business Practice Location Address
First Line : 8916 OAK GROVE RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-5124
Country : US
Telephone Number : 817-682-5579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2018
Last Update Date : 02/05/2018

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Directions to “ MASON MURPHY STROOPE ATP” Practice Location

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