Provider Demographics
NPI:1538933726
Name:WELDON GENE MURRY PLLC
Entity type:Organization
Organization Name:WELDON GENE MURRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WELDON
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:MURRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:903-701-4595
Mailing Address - Street 1:1104 W PECAN ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-4332
Mailing Address - Country:US
Mailing Address - Phone:903-701-4595
Mailing Address - Fax:
Practice Address - Street 1:2900 MEDICAL CENTER PKWY STE 140
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3212
Practice Address - Country:US
Practice Address - Phone:479-553-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty