Provider Demographics
NPI:1962155721
Name:MURRAY, MARIAH ARKALIN
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:ARKALIN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-7036
Mailing Address - Country:US
Mailing Address - Phone:936-293-6115
Mailing Address - Fax:
Practice Address - Street 1:122 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-7036
Practice Address - Country:US
Practice Address - Phone:936-293-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2024-08-20
Deactivation Date:2022-07-29
Deactivation Code:
Reactivation Date:2024-08-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer