Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N0265 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | N0265 | TX |
NPI | 1093910697 |
---|---|
Provider Name | Dr. Shaun A Mcmurtry |
First Address | Mckinney, TX 75071-5504 |
Second Address | Mckinney, TX 75071-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 07/02/2022 |