Provider Demographics
NPI:1205891553
Name:MURRAY, ALAN DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:DOUGLAS
Last Name:MURRAY
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 1:783 N DENTON TAP RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2169
Mailing Address - Country:US
Mailing Address - Phone:972-745-8400
Mailing Address - Fax:972-315-9011
Practice Address - Street 1:783 N DENTON TAP RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2169
Practice Address - Country:US
Practice Address - Phone:972-745-8400
Practice Address - Fax:972-315-9011
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0950207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118031703Medicaid
TX8F0668Medicare ID - Type Unspecified
TX118031703Medicaid