Provider Demographics
NPI:1023300829
Name:MCMURPHY, TIM (MS)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:MCMURPHY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S MACARTHUR BLVD TRLR 67
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73128-1658
Mailing Address - Country:US
Mailing Address - Phone:580-977-7776
Mailing Address - Fax:
Practice Address - Street 1:2001 S MACARTHUR BLVD TRLR 67
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-1658
Practice Address - Country:US
Practice Address - Phone:580-977-7776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)