Provider Demographics
NPI:1245507243
Name:MCMURRAY, TOM (PHD, MD)
Entity type:Individual
Prefix:
First Name:TOM
Middle Name:
Last Name:MCMURRAY
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 LAUREL RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5465
Mailing Address - Country:US
Mailing Address - Phone:210-679-8362
Mailing Address - Fax:
Practice Address - Street 1:326 LAUREL RDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5465
Practice Address - Country:US
Practice Address - Phone:210-679-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4543208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice