Provider Demographics
NPI:1235644493
Name:ROUND ROCK DISC & NERVE PLLC
Entity Type:Organization
Organization Name:ROUND ROCK DISC & NERVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-255-9887
Mailing Address - Street 1:1930 RAWHIDE DR STE 308
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6954
Mailing Address - Country:US
Mailing Address - Phone:512-255-9887
Mailing Address - Fax:512-255-4715
Practice Address - Street 1:1930 RAWHIDE DR STE 308
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6954
Practice Address - Country:US
Practice Address - Phone:512-255-9887
Practice Address - Fax:512-255-4715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208D00000X
TX9928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty