Basic Information
Provider Information
NPI: 1568776565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ANDREW
MiddleName: CHARLES
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5700 GRANITE PKWY STE 455
Address2:  
City: PLANO
State: TX
PostalCode: 750246631
CountryCode: US
TelephoneNumber: 8582315858
FaxNumber: 4693995029
Practice Location
Address1: 5700 GRANITE PKWY STE 455
Address2:  
City: PLANO
State: TX
PostalCode: 750246631
CountryCode: US
TelephoneNumber: 2145908058
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/02/2010
LastUpdateDate: 11/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XE-14570ARY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XP3654TXN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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