Provider Demographics
NPI:1871698316
Name:MURPHY, JOSEPH SHAUN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SHAUN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17051 NORTH DALLAS PARKWAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001
Mailing Address - Country:US
Mailing Address - Phone:972-733-3090
Mailing Address - Fax:972-733-4565
Practice Address - Street 1:17051 NORTH DALLAS PARKWAY
Practice Address - Street 2:SUITE 150
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:972-733-3090
Practice Address - Fax:972-733-4565
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042859102Medicaid
TX8C1954Medicare ID - Type Unspecified
TX042859102Medicaid