Provider Demographics
NPI:1679363113
Name:RICARDO MUNOZ, LAZARO
Entity type:Individual
Prefix:
First Name:LAZARO
Middle Name:
Last Name:RICARDO MUNOZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 CAPELLA RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3323
Mailing Address - Country:US
Mailing Address - Phone:832-430-9033
Mailing Address - Fax:
Practice Address - Street 1:4615 CAPELLA RIVIERA DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3323
Practice Address - Country:US
Practice Address - Phone:832-430-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR039486163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse