Provider Demographics
NPI:1306815923
Name:MURPHY, GRADY F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GRADY
Middle Name:F
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3700 CHEEK SPARGER RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2974
Mailing Address - Country:US
Mailing Address - Phone:817-912-8100
Mailing Address - Fax:817-912-8110
Practice Address - Street 1:3700 CHEEK SPARGER RD
Practice Address - Street 2:SUITE 170
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2974
Practice Address - Country:US
Practice Address - Phone:817-912-8100
Practice Address - Fax:817-912-8110
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2022-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG3628207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106051906Medicaid
TX106051906Medicaid
TXC19730Medicare UPIN