MEDICARE: MR. MICHAEL MUNIZ LPC-S

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	101YP2500X	Professional Counselor	19872	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

General Provider Information

NPI Number	:	1427067883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL MUNIZ LPC-S

Provider Business Mailing Address
First Line	:	315 E JACKSON ST
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-6849
Country	:	US
Telephone Number	:	956-364-1111
Fax Number	:	888-219-5169

Provider Business Practice Location Address
First Line	:	315 E JACKSON ST
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-6849
Country	:	US
Telephone Number	:	956-364-1111
Fax Number	:	888-219-5169

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	02/07/2013

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