Provider Demographics
NPI:1154498228
Name:MUNOZ, ABILIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ABILIO
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 NORTHLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1115
Mailing Address - Country:US
Mailing Address - Phone:512-377-3400
Mailing Address - Fax:512-377-3403
Practice Address - Street 1:2115 NORTHLAND DRIVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1115
Practice Address - Country:US
Practice Address - Phone:512-377-3400
Practice Address - Fax:512-377-3400
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7836207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K9330OtherBLUE CROSS BLUE SHIELD
TX8B5077Medicare PIN
TX8K9330OtherBLUE CROSS BLUE SHIELD