MEDICARE: DR. CONRAD ROBERT MURRAY 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	207RC0000X	Cardiovascular Disease Physician	9141	NV
2	207RC0000X	Cardiovascular Disease Physician	M0502	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060063624	OTHER	NV	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8W2140	OTHER	TX	BCBS OF TEXAS
6	1730137340	OTHER	NV	NPI INDIVIDUAL

General Provider Information

NPI Number	:	1730137340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONRAD ROBERT MURRAY MD

Provider Business Mailing Address
First Line	:	PO BOX 72216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89170-2216
Country	:	US
Telephone Number	:	702-866-6802
Fax Number	:	702-866-6904

Provider Business Practice Location Address
First Line	:	2110 E FLAMINGO RD
Second Line	:	SUITE #301
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5190
Country	:	US
Telephone Number	:	702-866-6802
Fax Number	:	702-866-6904

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	11/14/2008

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Directions to “ DR. CONRAD ROBERT MURRAY MD” Practice Location

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