Individual provider Active NPI

Marco Munoz, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1356659585
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7564 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000179 TX Practitioner - Family Practice 6901083245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N7564TXMDFamily Medicine Physician
MD61553876WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA CurrentSince Aug 4, 2024 Accepting new patients
Topcare Medical Group Inc CurrentSince Aug 4, 2024 Accepting new patients
Yerington Paiute Tribal Council CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.