Provider Demographics
NPI:1548633514
Name:EDWARD C MURPHY, MD PA
Entity type:Organization
Organization Name:EDWARD C MURPHY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-795-4300
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2323
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-795-4300
Mailing Address - Fax:713-795-5067
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2323
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-795-4300
Practice Address - Fax:713-795-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9778111N00000X
TXE0111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089752201Medicaid
TXV01689Medicare UPIN
TX089752201Medicaid
TX00N966Medicare PIN