Provider Demographics
NPI:1093878506
Name:MUNOZ PEDIATRICS (DBA) WEEKARE PEDIATRICS
Entity Type:Organization
Organization Name:MUNOZ PEDIATRICS (DBA) WEEKARE PEDIATRICS
Other - Org Name:WEE KARE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NEONATOLOGIST/OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:ANGELBERTO
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-358-3635
Mailing Address - Street 1:19333 HIGHWAY 59 N
Mailing Address - Street 2:SUITE 145
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4204
Mailing Address - Country:US
Mailing Address - Phone:281-540-5437
Mailing Address - Fax:281-540-2630
Practice Address - Street 1:19333 HIGHWAY 59 N
Practice Address - Street 2:SUITE 145
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4204
Practice Address - Country:US
Practice Address - Phone:281-540-5437
Practice Address - Fax:281-540-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5851208000000X
TXM7500208000000X
208000000X
TXJ61842080N0001X
TXPA05131363AM0700X
TX790708363LP0200X
TX256934363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty