Provider Demographics
NPI:1306148036
Name:MURPHY, GAYLA LIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:GAYLA
Middle Name:LIZABETH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:GAYLA
Other - Middle Name:GATTIS
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5414 SYCAMORE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1449
Mailing Address - Country:US
Mailing Address - Phone:281-380-5237
Mailing Address - Fax:
Practice Address - Street 1:5414 SYCAMORE CREEK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1449
Practice Address - Country:US
Practice Address - Phone:281-380-5237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00712363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant