Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | K0950 | TX |
NPI | 1205891553 |
---|---|
Provider Name | Alan Douglas Murray |
First Address | Coppell, TX 75019-2169 |
Second Address | Coppell, TX 75019-2169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118031703 | (05) | TX |
G15622 | (02) | TX |