Provider Demographics
NPI:1942721139
Name:MURPHY PLASTIC SURGERY PLLC
Entity Type:Organization
Organization Name:MURPHY PLASTIC SURGERY PLLC
Other - Org Name:PEARWOOD PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DONAL JOHN
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD MCH FRCS(PLAST)
Authorized Official - Phone:713-494-0995
Mailing Address - Street 1:1920 COUNTRY PLACE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2287
Mailing Address - Country:US
Mailing Address - Phone:832-736-8968
Mailing Address - Fax:
Practice Address - Street 1:1920 COUNTRY PLACE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2287
Practice Address - Country:US
Practice Address - Phone:832-736-8968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty