MEDICARE: JEFFREY J 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	207Q00000X	Family Medicine Physician	K4752	TX

General Provider Information

NPI Number	:	1710954011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY J MUNOZ MD

Provider Business Mailing Address
First Line	:	1583 E COMMON ST STE 100
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3174
Country	:	US
Telephone Number	:	210-341-9614
Fax Number	:	210-340-5924

Provider Business Practice Location Address
First Line	:	4114 POND HILL RD STE 202
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78231-1273
Country	:	US
Telephone Number	:	210-510-2141
Fax Number	:	210-510-2140

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	02/29/2024

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