Provider Demographics
NPI:1013105642
Name:DBA MICHELLE MUNOZ, LTD
Entity Type:Organization
Organization Name:DBA MICHELLE MUNOZ, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZCRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-4444
Mailing Address - Street 1:836 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4014
Mailing Address - Country:US
Mailing Address - Phone:830-278-4444
Mailing Address - Fax:830-278-6300
Practice Address - Street 1:836 N 4TH ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4014
Practice Address - Country:US
Practice Address - Phone:830-278-4444
Practice Address - Fax:830-278-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20519261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental