Basic Information
| Provider Information | |||||||||
| NPI: | 1003805946 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURRELL | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | SCOTT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8828 | ||||||||
| Address2: | |||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791148828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8068039671 | ||||||||
| FaxNumber: | 8068039674 | ||||||||
| Practice Location | |||||||||
| Address1: | 4104 SW 33RD AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791091203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8068039671 | ||||||||
| FaxNumber: | 8068039674 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2005 | ||||||||
| LastUpdateDate: | 08/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | H5595 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208VP0014X | H5595 | TX | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 174400000X | H5595 | TX | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 127796402 | 05 | TX | MEDICAID | H5595 | 01 | TX | PAIN MANAGEMENT | OTHER |