Provider Demographics
NPI:1295838407
Name:MUNIR, MUHAMMAD (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:MUNIR
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 1:1400 N IH 35
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1926
Mailing Address - Country:US
Mailing Address - Phone:512-324-8300
Mailing Address - Fax:512-324-8301
Practice Address - Street 1:6811 AUSTIN CENTER BLVD
Practice Address - Street 2:SUITE 420
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3146
Practice Address - Country:US
Practice Address - Phone:512-324-2715
Practice Address - Fax:512-324-2716
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL65382084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163334901Medicaid
TX163334903Medicaid
TX166334902Medicaid
TX8K0900OtherBLUE CROSS
TXMDL6538OtherSTATE OF TEXAS WC
P00237734OtherRAIL ROAD MEDICARE
010708079878758A001OtherTRICARE
TXTXB129668Medicare PIN
8B1599Medicare ID - Type Unspecified
010708079878758A001OtherTRICARE
TX166334902Medicaid