Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | N9917 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | N9917 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | N9917 | TX |
NPI | 1790909281 |
---|---|
Provider Name | Ryan C Murdock |
First Address | Austin, TX 78723-3077 |
Second Address | Austin, TX 78723-3077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 18/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2841462-01 | (05) | TX |
2841462-02 | (05) | TX |
2841462-03 | MEDICAID CSHCN - AUSTIN (01) | TX |
2841462-04 | MEDICAID CSHCN - REST OF TEXAS (01) | TX |
8CW713 | BCBSTX INDIVIDUAL NUMBER (01) | TX |