Provider Demographics
NPI:1003109455
Name:VILLASANA-MUNOZ, CLAUDIA Y
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:Y
Last Name:VILLASANA-MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 W BEARDSLEY RD
Mailing Address - Street 2:UNIT 442
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5653
Mailing Address - Country:US
Mailing Address - Phone:660-287-3936
Mailing Address - Fax:
Practice Address - Street 1:6900 LAKE WOODLANDS DR
Practice Address - Street 2:NO. 211
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2836
Practice Address - Country:US
Practice Address - Phone:660-287-3936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1204690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist