Provider Demographics
NPI:1619976693
Name:MUNOZ, ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
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 1:132 REDWOOD
Mailing Address - Street 2:ATTENTION: JUDY MUNOZ
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-6155
Mailing Address - Country:US
Mailing Address - Phone:972-563-3862
Mailing Address - Fax:
Practice Address - Street 1:132 REDWOOD
Practice Address - Street 2:ATTENTION: JUDY MUNOZ
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-6155
Practice Address - Country:US
Practice Address - Phone:972-563-3862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG85492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C19706Medicare UPIN
TXTXB103399Medicare PIN
8J0417Medicare PIN