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Individual
DR. GEORGE J MURILLO
Active
Individual
DR. GEORGE J MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021N
MEDICARE PTAN
TX
05
—
110431701
—
TX
01
—
741723714
TAX ID
TX
01
—
85830N
BCBS ID
TX
Enumeration date
04/12/2006
Last updated
09/29/2021
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