Provider Demographics
NPI:1154506004
Name:EDWIN V. MURR, O.D., P.C.
Entity Type:Organization
Organization Name:EDWIN V. MURR, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:MURR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-461-4453
Mailing Address - Street 1:1334 E PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6411
Mailing Address - Country:US
Mailing Address - Phone:817-461-4453
Mailing Address - Fax:817-861-2516
Practice Address - Street 1:1334 E PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6411
Practice Address - Country:US
Practice Address - Phone:817-461-4453
Practice Address - Fax:817-861-2516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2303TG332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E08BOtherBLUE CROSS BLUE SHIELD TX
TX093048901Medicaid
TX410017960OtherRAILROAD MEDICARE
TXT14975Medicare UPIN
TX093048901Medicaid