Provider Demographics
NPI:1902925092
Name:MURRAY'S APOLLO CHIROPRACTIC
Entity Type:Organization
Organization Name:MURRAY'S APOLLO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-592-2778
Mailing Address - Street 1:402 WEST PARK AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76367-2811
Mailing Address - Country:US
Mailing Address - Phone:940-592-2778
Mailing Address - Fax:940-592-2778
Practice Address - Street 1:402 W PARK AVE
Practice Address - Street 2:
Practice Address - City:IOWA PARK
Practice Address - State:TX
Practice Address - Zip Code:76367-2811
Practice Address - Country:US
Practice Address - Phone:940-592-2778
Practice Address - Fax:940-592-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A6080OtherBCBS PROVIDER NUMBER
TX0038EZOtherBCBS GROUP NUMBER
TX8A6080OtherBCBS PROVIDER NUMBER