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Provider Information for 1386488906


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Mr. ENRIQUE ANTONIO MUNOZ LPC


Sex: Male

NPI: 1386488906
Last Updated: 2024-06-19
Certification Date: 2024-06-19

Details

NameValue
NPI1386488906
Enumeration Date2024-06-19
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 516 GOODWIN DR
RICHARDSON, TX 75081-5601
United States

Phone: 254-535-9434 | Fax:
 
Primary Practice Address 516 GOODWIN DR
RICHARDSON, TX 75081-5601
United States

Phone: 254-535-9434 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
101YP2500X - Counselor - Professional
TX88624