Provider Demographics
NPI:1093038978
Name:DIAGNOSTIC PARTNERS OF NORTH TEXAS, P.A.
Entity Type:Organization
Organization Name:DIAGNOSTIC PARTNERS OF NORTH TEXAS, P.A.
Other - Org Name:MURPHY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-578-7700
Mailing Address - Street 1:345 W FM 544 STE 100
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4589
Mailing Address - Country:US
Mailing Address - Phone:972-578-7700
Mailing Address - Fax:972-578-7705
Practice Address - Street 1:345 W FM 544 STE 100
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4589
Practice Address - Country:US
Practice Address - Phone:972-578-7700
Practice Address - Fax:972-578-7705
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAGNOSTIC PARTNERS OF NORTH TEXAS,P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-08
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1597163-01Medicaid
TX1597163-01Medicaid