Provider Demographics
NPI:1770990822
Name:MURPHY, TERRY LYNN K
Entity type:Individual
Prefix:MRS
First Name:TERRY LYNN
Middle Name:K
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7399
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78713-7399
Mailing Address - Country:US
Mailing Address - Phone:512-471-7365
Mailing Address - Fax:512-232-5054
Practice Address - Street 1:2012 ROBERT DEDMAN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1754
Practice Address - Country:US
Practice Address - Phone:512-471-7365
Practice Address - Fax:512-232-5054
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9753852255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2255A2300XOtherBOC , PROVIDER TYPE 22
TX099902393OtherNATA-BOC