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Individual

CODY JIM MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP, CRTS

Contact information

Practice address
1901 N GLENVILLE DR STE 501, RICHARDSON, TX 75081-1957
(972) 480-0990
(972) 480-8377
Mailing address
1901 N GLENVILLE DR STE 501, RICHARDSON, TX 75081-1957
(972) 480-0990
(972) 480-8377

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219205603
TX
05
219205604
TX
05
752408872
TX
Enumeration date
05/04/2011
Last updated
03/09/2015
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