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General NPI Number Information
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NPI Number | 1083770077
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Entity Type | Individual
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Provider Name | REYNALDO OMAR MUNOZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 909 S AIRPORT DR
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City | WESLACO
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State | TX
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Zip | 78596-6651
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Country | US
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Telephone | 956-968-0560
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Fax | 956-668-7999
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Provider Business Mailing Address
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Address Line | 1112 PROVIDENCE AVE
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City | MCALLEN
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State | TX
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Zip | 78504-6473
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Country | US
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Telephone | 956-605-3830
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Fax | 956-259-8085
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA02606
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02606
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License Number State | TX
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