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NPI Code Detail

MEDICARE: FOREFRONT - MURDOCK MEDICAL SERVICES PC

MEDICARE: FOREFRONT - MURDOCK MEDICAL SERVICES PC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1720581473
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREFRONT - MURDOCK MEDICAL SERVICES PC
Provider Business Mailing Address
First Line : 1717 MAIN ST STE 5850
Second Line :
City : DALLAS
State : TX
Zip : 75201-7317
Country : US
Telephone Number : 972-449-0540
Fax Number : 972-449-0542
Provider Business Practice Location Address
First Line : 1717 MAIN ST STE 5850
Second Line :
City : DALLAS
State : TX
Zip : 75201-7317
Country : US
Telephone Number : 972-449-0540
Fax Number : 972-449-0542
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : SARA VITULLO
Credential :
Telephone Number : 469-895-9275
Provider Enumeration Date : 03/08/2018
Last Update Date : 02/04/2026

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Directions to “FOREFRONT - MURDOCK MEDICAL SERVICES PC ” Practice Location

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