Provider Demographics
NPI:1003356759
Name:DR. MURPHY MEDICAL CARE P.A.
Entity Type:Organization
Organization Name:DR. MURPHY MEDICAL CARE P.A.
Other - Org Name:MODOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:469-304-3443
Mailing Address - Street 1:4944 PRESTON RD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8597
Mailing Address - Country:US
Mailing Address - Phone:469-304-3443
Mailing Address - Fax:469-304-3443
Practice Address - Street 1:897 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2705
Practice Address - Country:US
Practice Address - Phone:469-304-3443
Practice Address - Fax:469-304-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
G3628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty