Provider Demographics
NPI:1114935079
Name:MUNTZ, JAMES E (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:MUNTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6550 FANNIN
Mailing Address - Street 2:SUITE 2339
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-795-4847
Mailing Address - Fax:713-795-0774
Practice Address - Street 1:6550 FANNIN
Practice Address - Street 2:SUITE 2339
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-795-4847
Practice Address - Fax:713-795-0774
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5415207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110003651OtherRAILROAD MEDICARE
TX089663101Medicaid
TX089663101Medicaid
C19708Medicare UPIN