MEDICARE: DR. IRA O MURCHISON DO

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
2	207P00000X	Emergency 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	:	1760437669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA O MURCHISON DO

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

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/07/2008

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Directions to “ DR. IRA O MURCHISON DO” Practice Location

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