MEDICARE: IMUR FAMILY MEDICAL

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	F9861	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	:	1487815718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMUR FAMILY MEDICAL

Provider Business Mailing Address
First Line	:	7310 S. WESTMORELAND
Second Line	:	SUITE 9
City	:	DALLAS
State	:	TX
Zip	:	75237
Country	:	US
Telephone Number	:	972-780-1122
Fax Number	:	972-780-1295

Provider Business Practice Location Address
First Line	:	7310 S WESTMORELAND RD
Second Line	:	SUITE 9
City	:	DALLAS
State	:	TX
Zip	:	75237-2998
Country	:	US
Telephone Number	:	972-780-1122
Fax Number	:	972-780-1295

Authorized Official
Title or Position	:	OWNER
Name	:	DR. IRA O MURCHISON
Credential	:	D.O.
Telephone Number	:	469-767-7828

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	06/19/2008

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Directions to “IMUR FAMILY MEDICAL ” Practice Location

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