Individual
LACY JILL MCMURTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Mailing address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1305209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L09G
BCBS TEXAS
TX
05
—
021635001
—
TX
Enumeration date
04/04/2019
Last updated
06/11/2019
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