Organization
GAN & MUNIZ ENTERPRISES, LLC
Active
Parent organization
GAN &MUNIZ ENTERPRISES, LLC
Other names
Ketamine Infusion Clinic of El Paso
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAN &MUNIZ ENTERPRISES, LLC
Authorized official
MR. HECTOR MUNIZ JR. CRNA, APRN (CLINICAL SUPERVISOR)
(915) 740-0067
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE, SUITE 4A, EL PASO, TX 79902
(915) 740-0067
Mailing address
1201 E SCHUSTER AVE, SUITE 4A, EL PASO, TX 79902
(915) 740-0067
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G8120
TX
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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