Provider Demographics
NPI:1114264280
Name:MURRAY, RACHAEL D (RN)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:D
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1703 SHOAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-8029
Mailing Address - Country:US
Mailing Address - Phone:940-636-9252
Mailing Address - Fax:
Practice Address - Street 1:1703 SHOAL CREEK DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-8029
Practice Address - Country:US
Practice Address - Phone:940-636-9252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX617389171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator