Provider Demographics
NPI:1447379680
Name:MURRAY, TROY GLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:GLEN
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402A WEST PARK
Mailing Address - Street 2:P.O. BOX 902
Mailing Address - City:IOWA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76367
Mailing Address - Country:US
Mailing Address - Phone:940-592-2778
Mailing Address - Fax:940-592-2778
Practice Address - Street 1:402 W PARK AVE
Practice Address - Street 2:
Practice Address - City:IOWA PARK
Practice Address - State:TX
Practice Address - Zip Code:76367-2811
Practice Address - Country:US
Practice Address - Phone:940-592-2778
Practice Address - Fax:940-592-2778
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14976Medicare UPIN