MEDICARE: DR. ALEJANDRO MUNOZ MD

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	2084P0800X	Psychiatry Physician	G8549	TX

General Provider Information

NPI Number	:	1619976693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEJANDRO MUNOZ MD

Provider Business Mailing Address
First Line	:	132 REDWOOD
Second Line	:	ATTENTION: JUDY MUNOZ
City	:	TERRELL
State	:	TX
Zip	:	75160-6155
Country	:	US
Telephone Number	:	972-563-3862
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 REDWOOD
Second Line	:	ATTENTION: JUDY MUNOZ
City	:	TERRELL
State	:	TX
Zip	:	75160-6155
Country	:	US
Telephone Number	:	972-563-3862
Fax Number	:

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/13/2012

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