Provider Demographics
NPI:1184738544
Name:MUNOZ, XAVIER JOSE (DO)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:JOSE
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5746 TROWBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3341
Mailing Address - Country:US
Mailing Address - Phone:915-219-4300
Mailing Address - Fax:915-519-4300
Practice Address - Street 1:7812 GATEWAY BLVD E
Practice Address - Street 2:SUITE 230
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1837
Practice Address - Country:US
Practice Address - Phone:915-592-8223
Practice Address - Fax:915-592-8328
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5477207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164871903Medicaid
TX30126550OtherDPS
TXP000820235OtherMEDICARE RAIL ROAD
TX30126550OtherDPS
TX164871903Medicaid
TXBM8229076OtherDEA