| Doctor Name: | DR. JESUS DIAZ-MUNIZ |
| NPI Number: | 1144410135 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01067757A |
| Business Practice Address: | 1500 E Downing St Tahlequah, OK - 744643234 |
| Business Phone Number: | 9184562549 |
| Business Fax Number: | 9184563395 |
| Mailing Address: | 6312 E 101st St, TULSA |
| State: | OK |
| Postal Code: | 741377007 |
| Phone Number: | 9184562549 |
| Fax Number: | 9188936202 |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01067757A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |