Provider Demographics
NPI:1922884204
Name:HEALTHY MINDS, BODY, AND FEET CENTER PLLC
Entity Type:Organization
Organization Name:HEALTHY MINDS, BODY, AND FEET CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, PMHNP-BC
Authorized Official - Phone:956-815-0296
Mailing Address - Street 1:1424 W PRICE RD STE A-2
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8672
Mailing Address - Country:US
Mailing Address - Phone:956-815-0296
Mailing Address - Fax:956-306-0187
Practice Address - Street 1:1424 W PRICE RD STE A-2
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8672
Practice Address - Country:US
Practice Address - Phone:956-815-0296
Practice Address - Fax:956-306-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty