Provider Demographics
NPI:1861593220
Name:MUNIZ, ALEXIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 WATTERS RD
Mailing Address - Street 2:BLD C
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2020
Mailing Address - Country:US
Mailing Address - Phone:713-941-6610
Mailing Address - Fax:713-941-6846
Practice Address - Street 1:3326 WATTERS RD
Practice Address - Street 2:BLD C
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2020
Practice Address - Country:US
Practice Address - Phone:713-941-6610
Practice Address - Fax:713-941-6846
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4176208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC19699Medicare UPIN