Active NPI
Marco Munoz, M.D.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7564
- Practice address
- 229 NE 28TH St
Fort Worth, TX 76164-7205 - Phone
- (817) 566-0478
- Fax
- (903) 630-5456
- NPI assigned
- Sep 22, 2010
- Last updated
- Oct 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61553876 | WA | |
| Family Medicine Physician | 207Q00000X | N7564 | TX | Primary |
Addresses
Primary practice location
229 NE 28TH St
Fort Worth, TX 76164-7205
Mailing address
300 E John Carpenter Fwy
Suite 850
Irving, TX 75062-2727
Phone (972) 957-3000
Other practice location 1
9710 State Ave
Marysville, WA 98270-2232
Phone (606) 531-7423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7564 | TX | MD | Family Medicine Physician |
| MD61553876 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Current | Accepting new patients | |
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Yerington Paiute Tribal Council | Current | Accepting new patients |
Locations
171 Campbell Ln
Yerington, NV 89447
Phone (775) 463-3335
229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478
4200 South Fwy
Ste 106
Ft Worth, TX 76115
Phone (817) 566-0505
222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039
300 E John Carpenter Fwy
Ste 850
Irving, TX 75062
Phone (972) 357-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yerington Paiute Tribal Health Clinic
- Health Service Clinic/Center
- Yerington, NV
- NPI 1750338646
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1356659585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E JOHN CARPENTER FWY",
"address_2": "SUITE 850",
"city": "IRVING",
"state": "TX",
"postal_code": "750622727",
"telephone_number": "972-957-3000",
"fax_number": "972-957-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 NE 28TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761647205",
"telephone_number": "817-566-0478",
"fax_number": "903-630-5456"
}
],
"practiceLocations": [
{
"address_1": "9710 State Ave",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982702232",
"country_code": "US",
"telephone_number": "606-531-7423",
"fax_number": "360-512-2026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "MARCO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-22",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61553876",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N7564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.