Provider Demographics
NPI:1205865524
Name:MUNOZ, ALAN K (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:K
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:800 W MAGNOLIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4611
Mailing Address - Country:US
Mailing Address - Phone:817-759-7000
Mailing Address - Fax:972-490-5632
Practice Address - Street 1:12200 PARK CENTRAL DR STE 410
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2101
Practice Address - Country:US
Practice Address - Phone:972-490-5970
Practice Address - Fax:972-490-5632
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF6292207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C19701Medicare UPIN