Doctor Name: | SERGIO L MURILLO |
NPI Number: | 1326268947 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C6724 |
Business Practice Address: | 4343 Maple Ave Suite 101 Dallas, TX - 75219 |
Business Phone Number: | 2145281925 |
Business Fax Number: | 2145284564 |
Mailing Address: | 4343 Maple Ave, Suite 101 DALLAS |
State: | TX |
Postal Code: | 75219 |
Phone Number: | 2145281925 |
Fax Number: | 2145284564 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C6724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |