MEDICARE: DR. CARLOS E MUNOZ JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	K2081	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	K2081	OTHER	TX	PHYSICIAN LICENSE
3	45D1056254	OTHER	TX	CLIA

General Provider Information

NPI Number	:	1043269285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS E MUNOZ JR. M.D.

Provider Business Mailing Address
First Line	:	1601 MAIN ST STE 108
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3230
Country	:	US
Telephone Number	:	281-342-9503
Fax Number	:	281-341-5461

Provider Business Practice Location Address
First Line	:	1601 MAIN ST 108
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3230
Country	:	US
Telephone Number	:	281-342-9503
Fax Number	:	281-341-5461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	08/12/2024

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