Munoz Pediatric and Adolescent Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MUNOZ PEDIATRIC AND ADOLESCENT CLINIC

Practice address

2406 Emmett St Ste 100
Dallas, TX 75211-5415

Phone

(469) 776-8669

Fax

(833) 357-1698

NPI assigned

Aug 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edna Munoz, CPNP

Title

Owner

Phone

(469) 776-8669

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1265109888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 EMMETT ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115415",
            "telephone_number": "469-776-8669",
            "fax_number": "833-357-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 EMMETT ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115415",
            "telephone_number": "469-776-8669",
            "fax_number": "833-357-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNOZ PEDIATRIC AND ADOLESCENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-776-8669",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Muniz, MSN, APRN, FNP-C
• Havisha Munjal
• Ashley Munk
• Josh Munkeby, M.A.
• Lisa Marie Munn, A.N.P.
• Marisela Munoz Puga
• Aime Munoz
• Alan K Munoz, M.D.
• Aliza Munoz, PHARMS
• Claudia Munoz, QMHP

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.