Provider Demographics
NPI:1285873133
Name:MCMURPHY, COLEMAN (LAC)
Entity type:Individual
Prefix:
First Name:COLEMAN
Middle Name:
Last Name:MCMURPHY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6023 MORNINGSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5923
Mailing Address - Country:US
Mailing Address - Phone:214-828-4558
Mailing Address - Fax:
Practice Address - Street 1:6023 MORNINGSIDE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5923
Practice Address - Country:US
Practice Address - Phone:214-828-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist