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Individual
WILFREDO ALFONSO MUNOZ
Active
Individual
WILFREDO ALFONSO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189405703
—
TX
01
—
8CR201
BCBS
TX
01
—
M4890
MEDICAL LICENSE
TX
01
—
P01114744
RR MEDICARE
TX
01
—
TXB123737
MEDICARE
TX
Enumeration date
11/16/2006
Last updated
12/22/2021
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