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NPI Code Detail

MEDICARE: THOMAS M MURPHY MD

MEDICARE:   THOMAS M MURPHY  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
12084P0804XChild & Adolescent Psychiatry PhysicianH9122TX

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
310029173OTHERTXAMERIGROUP PIN
475235224002OTHERTXPBH PIN
500U87ZOTHERTXBCBSTX GRP PIN
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
71750369203OTHERGRP NPI NUMBER
8521739OTHERTXFIRSTHEALTH PIN
984510SOTHERTXBCBSTX IND PIN
10120073100OTHERTXFIRSTCARE PIN
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12124172OTHERTXSUPERIOR PIN

General Provider Information

NPI Number : 1861577975
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS M MURPHY MD
Provider Business Mailing Address
First Line : PO BOX 99371
Second Line :
City : FORT WORTH
State : TX
Zip : 76199-0371
Country : US
Telephone Number : 682-885-1855
Fax Number : 682-885-7347
Provider Business Practice Location Address
First Line : 1300 S UNIVERSITY DR
Second Line : STE 200
City : FORT WORTH
State : TX
Zip : 76107-5737
Country : US
Telephone Number : 682-885-1050
Fax Number : 682-885-7572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 04/05/2010

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Directions to “ THOMAS M MURPHY MD” Practice Location

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