Provider Demographics
NPI:1043269285
Name:MUNOZ, CARLOS E JR (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:MUNOZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3230
Mailing Address - Country:US
Mailing Address - Phone:281-342-9503
Mailing Address - Fax:281-341-5461
Practice Address - Street 1:1601 MAIN ST 108
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3230
Practice Address - Country:US
Practice Address - Phone:281-342-9503
Practice Address - Fax:281-341-5461
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2024-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101936601Medicaid
TXK2081OtherPHYSICIAN LICENSE
TX45D1056254OtherCLIA