Provider Demographics
NPI:1134224876
Name:MURRAY, JEFFREY C (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:C
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1500 COOPER ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2710
Practice Address - Country:US
Practice Address - Phone:682-885-4095
Practice Address - Fax:682-885-7499
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6460207RH0003X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U87ZOtherBCBSTX GRP PIN
TX083880701Medicaid
TX10028891OtherAMERIGROUP PIN
TX1803857OtherPHCS PIN
TX125725501Medicaid
TX1392950OtherUHC PIN
1750369203OtherGRP NPI NUMBER
TX81X465OtherBCBSTX IND PIN
TX107490OtherSUPERIOR PIN
TX5062165OtherAETNA PIN
TX125725504Medicaid
TX137345808Medicaid
TX9381159OtherCIGNA PIN
TX120078100OtherFIRSTCARE PIN
TX1640341OtherFIRSTHEALTH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX9381159OtherCIGNA PIN
TX125725501Medicaid