Organization
THOMAS E MURRAY ET AL PTR
Active
Parent organization
THOMAS E MURRAY ET AL PTR
Other names
Briarwood Clinic, The
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS E MURRAY ET AL PTR
Authorized official
DR. THOMAS E MURRAY EDD, HSPP (OWNER)
(765) 289-5520
Entity
Organization
Contact information
Practice address
3645 N BRIARWOOD LANE, SUITE A, MUNCIE, IN 47304-5337
(765) 289-5520
(765) 289-5840
Mailing address
3645 N BRIARWOOD LANE, SUITE A, MUNCIE, IN 47304-5337
(765) 289-5520
(765) 289-5840
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179679
ANTHEM BC BS
IN
05
—
100468380
—
IN
05
—
100468380A
—
IN
01
—
207238000
MAGELLAN
IN
Enumeration date
02/06/2006
Last updated
08/11/2014
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