Individual
SERGIO EDGARDO MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 MEDICAL DR, SUITE B, AMARILLO, TX 79106-4129
(806) 355-9007
(806) 355-5147
Mailing address
26 MEDICAL DR, SUITE B, AMARILLO, TX 79106-4129
(806) 355-9007
(806) 355-5147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J1325
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
J1325
TX
207RP1001X
Pulmonary Disease Physician
Primary
J1325
TX
207RP1001X
Pulmonary Disease Physician
MD2022-0083
NM
208M00000X
Hospitalist Physician
J1325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110057863
RAILROAD MEDICARE
TX
05
—
133996206
—
TX
Enumeration date
10/12/2006
Last updated
01/04/2024
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