Healthcare Provider Details

I. General information

NPI: 1134309214
Provider Name (Legal Business Name): MUBASHAR MUNIR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 WYOMING SPGS SUITE 300
ROUND ROCK TX
78681-4312
US

IV. Provider business mailing address

7215 WYOMING SPGS SUITE 300
ROUND ROCK TX
78681-4312
US

V. Phone/Fax

Practice location:
  • Phone: 512-341-0900
  • Fax: 512-341-2895
Mailing address:
  • Phone: 512-341-0900
  • Fax: 512-341-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberK0948
License Number StateTX

VIII. Authorized Official

Name: MUBASHAR MUNIR
Title or Position: OWNER
Credential: M.D.
Phone: 512-341-0900