Provider Demographics
NPI:1396781639
Name:MURPHY, SAMUEL ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ERIC
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 1:1930 RAWHIDE DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6953
Mailing Address - Country:US
Mailing Address - Phone:512-255-9887
Mailing Address - Fax:512-255-4715
Practice Address - Street 1:1930 RAWHIDE DR
Practice Address - Street 2:SUITE 308
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6953
Practice Address - Country:US
Practice Address - Phone:512-255-9887
Practice Address - Fax:512-255-4715
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R8010OtherBCBS PIN
TXV03484Medicare UPIN
TX8D0845Medicare PIN