Provider Demographics
NPI:1669733689
Name:MURRAY R STRAUSS, MD PROFESSIONAL ASSOCIATION
Entity type:Organization
Organization Name:MURRAY R STRAUSS, MD PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-624-8683
Mailing Address - Street 1:PO BOX 227161
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-7161
Mailing Address - Country:US
Mailing Address - Phone:903-624-8683
Mailing Address - Fax:817-861-2242
Practice Address - Street 1:516 RIDINGS PL APT 175
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-3761
Practice Address - Country:US
Practice Address - Phone:903-624-8683
Practice Address - Fax:817-861-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB158761Medicare PIN