Provider Demographics
NPI:1336880285
Name:MURPHY DFW INTERNAL MEDICINE
Entity Type:Organization
Organization Name:MURPHY DFW INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:469-215-2511
Mailing Address - Street 1:1041 CLIFF CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9021
Mailing Address - Country:US
Mailing Address - Phone:214-326-3536
Mailing Address - Fax:
Practice Address - Street 1:4944 PRESTON RD STE B
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8597
Practice Address - Country:US
Practice Address - Phone:214-326-3536
Practice Address - Fax:469-453-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty