Provider Demographics
NPI:1497855746
Name:MURPHY, ROBERT E (FNP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 WOODHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-2376
Mailing Address - Country:US
Mailing Address - Phone:817-429-8300
Mailing Address - Fax:817-429-6167
Practice Address - Street 1:1200 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2376
Practice Address - Country:US
Practice Address - Phone:817-429-8300
Practice Address - Fax:817-429-6167
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9387111N00000X
TX775075364SF0001X
TXAP120530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health