Individual
TYISAIA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1999 BRYAN ST STE 900, DALLAS, TX 75201-3140
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 11167, FORT WAYNE, IN 46856-1167
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1117629
TX
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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