Provider Demographics
NPI:1861577975
Name:MURPHY, THOMAS M (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99371
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0371
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-7347
Practice Address - Street 1:1300 S UNIVERSITY DR
Practice Address - Street 2:STE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-5737
Practice Address - Country:US
Practice Address - Phone:682-885-1050
Practice Address - Fax:682-885-7572
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH91222084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140442852Medicaid
TX150220508Medicaid
TX10029173OtherAMERIGROUP PIN
TX75235224002OtherPBH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX126241210Medicaid
1750369203OtherGRP NPI NUMBER
TX521739OtherFIRSTHEALTH PIN
TX84510SOtherBCBSTX IND PIN
TX120073100OtherFIRSTCARE PIN
TX126241208Medicaid
TX124172OtherSUPERIOR PIN
TX00257TMedicare PIN
TX126241210Medicaid
TX126241208Medicaid
TX00U87ZOtherBCBSTX GRP PIN
TX84510SOtherBCBSTX IND PIN