Provider Demographics
NPI:1629796768
Name:MURRAY BERHOW, TYRA (MMSC, PA-C)
Entity type:Individual
Prefix:
First Name:TYRA
Middle Name:
Last Name:MURRAY BERHOW
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Gender:F
Credentials:MMSC, PA-C
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Mailing Address - Street 1:1211 UNION AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1265 UNION AVE, 2 SHORB TOWER
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104
Practice Address - Country:US
Practice Address - Phone:901-478-0900
Practice Address - Fax:901-266-6415
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2025-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN5077363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant