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Individual

DR. ALICIA GUAJARDO MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1204 N MOUND, NACOGDOCHES MEMORIAL HOSPITAL LAB, NACOGDOCHES, TX 75961
(936) 462-3635
(936) 569-4615
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
200078
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J0610
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD6133
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084947301
TX
05
129414204
TX
01
742741883
CHAMPUS
Enumeration date
12/15/2005
Last updated
06/02/2014
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