MEDICARE: ALAN K MUNOZ MD PA

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	261QM2500X	Medical Specialty Clinic/Center	F6292	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F6292	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1760437040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN K MUNOZ MD PA

Provider Business Mailing Address
First Line	:	12200 PARK CENTRAL DR
Second Line	:	SUITE 410
City	:	DALLAS
State	:	TX
Zip	:	75251-2100
Country	:	US
Telephone Number	:	972-490-5970
Fax Number	:	972-490-5632

Provider Business Practice Location Address
First Line	:	12200 PARK CENTRAL DR
Second Line	:	SUITE 410
City	:	DALLAS
State	:	TX
Zip	:	75251-2100
Country	:	US
Telephone Number	:	972-490-5970
Fax Number	:	972-490-5632

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN K MUNOZ
Credential	:	MD
Telephone Number	:	972-490-5970

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	06/22/2011

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Directions to “ALAN K MUNOZ MD PA ” Practice Location

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