Mitch Murry
Individual provider Active NPI Dentist · Mescalero, NM
NPI 1154420537 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154420537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7757 (TX)
- Practice address
- Mescalero Service Unit Indian Health Service
Mescalero, NM 88340-0210 - Phone
- (505) 464-4441
- Fax
- (505) 464-4422
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7757 | TX | Yes |
Addresses
Primary practice location
Mescalero Service Unit Indian Health Service
Mescalero, NM 88340-0210
Mailing address
719 McKenzie Rd
Amarillo, TX 79118
Other names
- Dr. Joe Mitchell Murry
Other providers in Mescalero, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.