Provider Demographics
NPI:1346299187
Name:MURRAY, JENNY M (MD)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 835124
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083
Mailing Address - Country:US
Mailing Address - Phone:214-575-2803
Mailing Address - Fax:214-575-5301
Practice Address - Street 1:701 NORTH CENTRAL EXPRESSWAY
Practice Address - Street 2:5
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:214-575-2803
Practice Address - Fax:214-575-5301
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1078702084P0800X
TXJ66122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113331602Medicaid
TXR0128856OtherTX DPS NUMBER
TX0084LNOtherBLUE CROSS BULE SHIELD
TX0084LNOtherBLUE CROSS BULE SHIELD
TX0084LNOtherBLUE CROSS BULE SHIELD