Healthcare Provider Details

I. General information

NPI: 1144488255
Provider Name (Legal Business Name): JOHN WESLEY MUNZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2008
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6414 FANNIN ST STE G150
HOUSTON TX
77030-1514
US

IV. Provider business mailing address

6400 FANNIN ST STE 1700
HOUSTON TX
77030-1526
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-7560
  • Fax: 713-486-7512
Mailing address:
  • Phone: 713-486-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberM9519
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: