Provider Demographics
NPI:1194279513
Name:MURPHY, NICHOLAS G (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:G
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 CLAYTON LN
Mailing Address - Street 2:STE 103E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1037
Mailing Address - Country:US
Mailing Address - Phone:512-553-2818
Mailing Address - Fax:
Practice Address - Street 1:1106 CLAYTON LN
Practice Address - Street 2:STE 103E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-1037
Practice Address - Country:US
Practice Address - Phone:512-553-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor