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Individual

JORGE MUNOZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3200 AVENUE E, HONDO, TX 78861-3525
(830) 426-7444
(830) 426-7471
Mailing address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7444
(830) 426-7471

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7596
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U70W
BLUECROSS & BLUE SHIELD
TX
05
100355001
TX
Enumeration date
08/16/2006
Last updated
09/27/2024
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