Provider Demographics
NPI:1659616803
Name:MURAD, MARIA (DDS)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:MURAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11119 KIRBY DR
Mailing Address - Street 2:APT 524
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-5038
Mailing Address - Country:US
Mailing Address - Phone:313-445-6567
Mailing Address - Fax:
Practice Address - Street 1:2316 S ZAPATA HWY STE 190
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-6590
Practice Address - Country:US
Practice Address - Phone:678-642-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry