Shaun a McMurtry MD PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

N0265 Issued in TX

Legal business name

SHAUN A MCMURTRY MD PLLC

Practice address

2303 Ira E Woods Ave
Grapevine, TX 76051-3926

Phone

(817) 416-1016

Fax

(817) 416-1019

NPI assigned

May 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaun McMurtry, M.D.

Title

President

Phone

(214) 934-2330

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1770874240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-416-1016",
            "fax_number": "817-416-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-416-1016",
            "fax_number": "817-416-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN A MCMURTRY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "MCMURTRY",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-934-2330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N0265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.