Provider Demographics
NPI:1235274200
Name:CYFAIR HEADACHE AND NEUROLOGICAL CLINIC
Entity Type:Organization
Organization Name:CYFAIR HEADACHE AND NEUROLOGICAL CLINIC
Other - Org Name:SALVADOR E. MURRA M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-955-9155
Mailing Address - Street 1:11307 FM 1960 RD W STE 140
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3687
Mailing Address - Country:US
Mailing Address - Phone:281-955-9155
Mailing Address - Fax:281-955-9911
Practice Address - Street 1:11307 FM 1960 RD W STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3687
Practice Address - Country:US
Practice Address - Phone:281-955-9155
Practice Address - Fax:281-955-9911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5301076OtherAETNA
TX5301076OtherAETNA
TX00X035Medicare PIN
TXE21070Medicare UPIN