MEDICARE: MARK MURPHY

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	343900000X	Non-emergency Medical Transport (VAN)	36902975	TX

General Provider Information

NPI Number	:	1942061742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK MURPHY

Provider Business Mailing Address
First Line	:	9110 N LOOP 1604 W STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3397
Country	:	US
Telephone Number	:	262-744-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	5306 HAREFIELD DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-5617
Country	:	US
Telephone Number	:	262-744-1177
Fax Number	:

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

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

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Directions to “ MARK MURPHY ” Practice Location

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