MEDICARE: DR. ALEXIS MUNIZ 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	208000000X	Pediatrics Physician	G4176	TX

General Provider Information

NPI Number	:	1861593220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS MUNIZ M.D.

Provider Business Mailing Address
First Line	:	3326 WATTERS RD
Second Line	:	BLD C
City	:	PASADENA
State	:	TX
Zip	:	77504-2020
Country	:	US
Telephone Number	:	713-941-6610
Fax Number	:	713-941-6846

Provider Business Practice Location Address
First Line	:	3326 WATTERS RD
Second Line	:	BLD C
City	:	PASADENA
State	:	TX
Zip	:	77504-2020
Country	:	US
Telephone Number	:	713-941-6610
Fax Number	:	713-941-6846

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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