Provider Demographics
NPI:1952415457
Name:MURRAY, RICHARD (CRT)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4447 N CENTRAL EXPY STE 110-211
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4245
Mailing Address - Country:US
Mailing Address - Phone:214-997-1186
Mailing Address - Fax:
Practice Address - Street 1:101 S BROOKSIDE DR APT 2203
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4585
Practice Address - Country:US
Practice Address - Phone:214-997-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX593142278H0200X, 227800000X
WVLRTC01300227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health
Not Answered227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified