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NPI Code Detail

MEDICARE: MCMURRY FITZSIMMONS M.D.

MEDICARE:   MCMURRY  FITZSIMMONS  M.D.
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
1207K00000XAllergy & Immunology PhysicianF2658TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1030000481OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376545400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCMURRY FITZSIMMONS M.D.
Provider Business Mailing Address
First Line : 2211 MIDWESTERN PKWY
Second Line : SUITE 2
City : WICHITA FALLS
State : TX
Zip : 76308-2300
Country : US
Telephone Number : 940-696-2323
Fax Number :
Provider Business Practice Location Address
First Line : 2211 MIDWESTERN PKWY
Second Line : STE 2
City : WICHITA FALLS
State : TX
Zip : 76308-2300
Country : US
Telephone Number : 940-696-2323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/29/2010

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Directions to “ MCMURRY FITZSIMMONS M.D.” Practice Location

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