Macmurdo, Lee M

Macmurdo, Lee M is an individual health care provider with primary practice located at 410 N Hancock Ave , Odessa TX 79761-5140. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Macmurdo, Lee M can be contacted via phone (432) 279-0905.

Contact Information

Primary practice address
410 N Hancock Ave Odessa TX 79761-5140
Phone: (432) 279-0905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 630161 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 630161 Texas

Profile Details

NPI number 1396850871
LBN Legal business name Macmurdo, Lee M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396850871 NPPES
Texas MEDICAID 1751356-01
Texas MEDICAID 175135601

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