Basic Information
Provider Information
NPI: 1003805946
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRELL
FirstName: BRIAN
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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: 01/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XH5595TXY Other Service ProvidersSpecialist 
207LP2900XH5595TXN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

ID Information
IDTypeStateIssuerDescription
12779640205TX MEDICAID


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