Provider Demographics
NPI:1861464497
Name:MURPHY, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:MURPHY
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 1:510 E CAESAR AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-6322
Mailing Address - Country:US
Mailing Address - Phone:361-592-8588
Mailing Address - Fax:361-592-2357
Practice Address - Street 1:510 E CAESAR AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-6322
Practice Address - Country:US
Practice Address - Phone:361-592-8588
Practice Address - Fax:361-592-2357
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8082207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032449301Medicaid
TX032449301Medicaid
00CC43Medicare PIN