Provider Demographics
NPI:1588685911
Name:MURRAY, ELLEN M (MSPT)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MR
Other - First Name:ELLEN
Other - Middle Name:M
Other - Last Name:HATTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5060 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7004
Mailing Address - Country:US
Mailing Address - Phone:817-498-8585
Mailing Address - Fax:
Practice Address - Street 1:5060 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7004
Practice Address - Country:US
Practice Address - Phone:817-498-8585
Practice Address - Fax:817-498-8582
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131274225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B9117Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER