Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | E5333 | TX |
NPI | 1356344014 |
---|---|
Provider Name | Jean T Murphree |
First Address | San Antonio, TX 78229-6071 |
Second Address | San Antonio, TX 78229-6071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C19716 | (02) | TX |