Provider Demographics
NPI:1871857979
Name:MUNOZ, XAVIER JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:XAVIER
Middle Name:
Last Name:MUNOZ
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 WILBANKS CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2711
Mailing Address - Country:US
Mailing Address - Phone:760-267-6194
Mailing Address - Fax:
Practice Address - Street 1:2139 WILBANKS CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-2711
Practice Address - Country:US
Practice Address - Phone:760-267-6194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261320367500000X
CA95000396367500000X
NV841918367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered