Organization Active NPI

Gan & Muniz Enterprises, LLC

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
National Provider Identifier
1790285930
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G8120 Issued in TX
Legal business name
GAN & MUNIZ ENTERPRISES, LLC
Practice address
1201 E Schuster Ave
Suite 4a
El Paso, TX 79902
Phone
(915) 740-0067
NPI assigned
Feb 14, 2018
Organization subpart
Yes
Parent organization
GAN &MUNIZ ENTERPRISES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Mr. Hector Muniz Jr., CRNA, APRN
Title
Clinical Supervisor
Phone
(915) 740-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X G8120 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave
Suite 4a
El Paso, TX 79902

Mailing address

1201 E Schuster Ave
Suite 4a
El Paso, TX 79902
Phone (915) 740-0067

Other names 1

  • Ketamine Infusion Clinic of El Paso Doing business as

National Provider Directory

National Provider Directory
Part of
Gan Muniz Enterprises LLC

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1790285930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "SUITE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-740-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "SUITE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-740-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAN & MUNIZ ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAN &MUNIZ ENTERPRISES, LLC",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "915-740-0067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G8120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ketamine Infusion Clinic of El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.