Provider Demographics
NPI:1538264171
Name:MURRAY, MATTHEW M (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
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 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
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:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2699207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129/850704Medicaid
TX00L42VOtherBCBSTX GRP PIN
TX10029075OtherAMERIGROUP PIN
TX137345805Medicaid
TX1640367OtherFIRSTHEALTH PIN
TX1392956OtherUHC PIN
1669442042OtherGRP NPI NUMBER
TX4586915OtherAETNA PIN
TX107490OtherSUPERIOR PIN
TX7246939OtherCIGNA PIN
TX120079100OtherFIRSTCARE PIN
TX129850704Medicaid
TX137283103Medicaid
TX88V508OtherBCBSTX IND PIN
TX1640367OtherFIRSTHEALTH PIN
1669442042OtherGRP NPI NUMBER
TX00L42VMedicare ID - Type UnspecifiedGRP MEDICARE