Individual
KIM H MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 W OLLIE ST, LLANO, TX 78643-2626
(325) 247-4213
(325) 247-4213
Mailing address
108 W OLLIE ST, LLANO, TX 78643-2626
(325) 247-4213
(325) 247-4213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14961
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/17/2007
Last updated
07/08/2007
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