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Organization
MARIA MUNOZ MD PA
Active
Organization
MARIA MUNOZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA DE JESUS MUNOZ MD (OWNER)
(956) 361-3050
Entity
Organization
Contact information
Practice address
2395 LA PALMA ST STE H-I, SAN BENITO, TX 78586-3320
(956) 361-3050
(956) 361-3055
Mailing address
PO BOX 1046, SAN BENITO, TX 78586-0011
(956) 361-3050
(956) 361-3055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y883
MEDICARE
TX
05
—
195883701
—
TX
Enumeration date
12/03/2007
Last updated
11/21/2014
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