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NPI Code Detail

MEDICARE: DR. RICHARD G MURRAY M.D.

MEDICARE: DR. RICHARD G MURRAY 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
12085R0202XDiagnostic Radiology PhysicianL3408TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619942711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD G MURRAY M.D.
Provider Business Mailing Address
First Line : 816 W CANNON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3146
Country : US
Telephone Number : 817-321-0404
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1770
Country : US
Telephone Number : 817-321-0404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/08/2020

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