Provider Demographics
NPI:1083256853
Name:MUNIZ, IRMA B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:B
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:IRMA
Other - Middle Name:
Other - Last Name:BALBUENA-MUNIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5005 N PIEDRAS STREET
Mailing Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-6382
Mailing Address - Fax:
Practice Address - Street 1:5005 N PIEDRAS STREET
Practice Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-6382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX056261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical