Provider Demographics
NPI:1376545400
Name:FITZSIMMONS, MCMURRY (MD)
Entity Type:Individual
Prefix:
First Name:MCMURRY
Middle Name:
Last Name:FITZSIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 MIDWESTERN PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2300
Mailing Address - Country:US
Mailing Address - Phone:940-696-2323
Mailing Address - Fax:
Practice Address - Street 1:2211 MIDWESTERN PKWY
Practice Address - Street 2:STE 2
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2300
Practice Address - Country:US
Practice Address - Phone:940-696-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2658207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030000481OtherMEDICARE RAILROAD
TX098783601Medicaid
TX030000481OtherMEDICARE RAILROAD
TX098783601Medicaid