Provider Demographics
NPI:1972546844
Name:MURRAY, PATRICK (MS, DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 MOUNTAIN RD NE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7818
Mailing Address - Country:US
Mailing Address - Phone:505-262-1641
Mailing Address - Fax:505-262-1651
Practice Address - Street 1:8100 MOUNTAIN RD NE
Practice Address - Street 2:SUITE 104
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7818
Practice Address - Country:US
Practice Address - Phone:505-262-1641
Practice Address - Fax:505-262-1651
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM2672863Medicare PIN