Basic Information
| Provider Information | |||||||||
| NPI: | 1497855746 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 WOODHAVEN BLVD | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761122376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174298300 | ||||||||
| FaxNumber: | 8174296167 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 WOODHAVEN BLVD | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761122376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174298300 | ||||||||
| FaxNumber: | 8174296167 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 05/10/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 9387 | TX | N | Chiropractic Providers | Chiropractor | 364SF0001X | 775075 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Family Health | 363LF0000X | AP120530 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.