Organization Name: | DBA MICHELLE MUNOZ, LTD |
NPI Number: | 1013105642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE MUNOZCRUCE (DOCTOR) |
Mailing Address: | 836 N 4th St Uvalde |
State: | TX US |
Postal Code: | 788014014 |
Phone Number: | 8302784444 |
Fax Number: | 8302786300 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 20519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |