Provider Demographics
NPI:1730962309
Name:STEWART-MUNOZ, MATEO
Entity type:Individual
Prefix:
First Name:MATEO
Middle Name:
Last Name:STEWART-MUNOZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 SADDLE DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-6011
Mailing Address - Country:US
Mailing Address - Phone:972-900-2488
Mailing Address - Fax:
Practice Address - Street 1:5200 SADDLE DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-6011
Practice Address - Country:US
Practice Address - Phone:972-900-2488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician