MEDICARE: LOURDES M MURRA MD

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
1	207Q00000X	Family Medicine Physician	M4386	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164532008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES M MURRA MD

Provider Business Mailing Address
First Line	:	PO BOX 66308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-6308
Country	:	US
Telephone Number	:	832-548-5076
Fax Number	:	713-523-4897

Provider Business Practice Location Address
First Line	:	6500 ROOKIN ST
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77074-5014
Country	:	US
Telephone Number	:	713-351-7350
Fax Number	:	713-523-4897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/15/2012

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