Provider Demographics
NPI:1417293382
Name:MURRAY, AMBER KAY (MS, RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:KAY
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 COLONY DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3929
Mailing Address - Country:US
Mailing Address - Phone:903-243-5623
Mailing Address - Fax:
Practice Address - Street 1:3013 COLONY DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3929
Practice Address - Country:US
Practice Address - Phone:903-243-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83367133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered