Provider Demographics
NPI:1043694896
Name:MURPHY, KATE MEGAN (NP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:MEGAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 842193
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-2193
Mailing Address - Country:US
Mailing Address - Phone:512-202-3830
Mailing Address - Fax:513-354-1106
Practice Address - Street 1:17101 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:469-248-3900
Practice Address - Fax:469-206-0430
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128519363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner