MEDICARE: ANGELIQUE CARINA MUNOZ-NWANKWO MS, RD, LD, CDCES

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	133V00000X	Registered Dietitian	86091588

General Provider Information

NPI Number	:	1548004443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE CARINA MUNOZ-NWANKWO MS, RD, LD, CDCES

Provider Business Mailing Address
First Line	:	PO BOX 542072
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254-2072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 542072
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254-2072
Country	:	US
Telephone Number	:	832-409-3056
Fax Number	:

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

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	10/12/2025

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