Provider Demographics
NPI:1972633303
Name:MURRAY, HOWARD N (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:N
Last Name:MURRAY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71273-0431
Mailing Address - Country:US
Mailing Address - Phone:318-254-3794
Mailing Address - Fax:
Practice Address - Street 1:503 MCMILLAN RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5327
Practice Address - Country:US
Practice Address - Phone:318-254-3150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036111552207RP1001X
LAMD.203971207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036111552Medicaid
IL05632031OtherBLUE CROSS/SHIELD
LA2118137Medicaid
LA2118137Medicaid
LAK38752Medicare PIN
LA$$$$$$$$$0OtherLA-BCBS
LA2118137Medicaid