Provider Demographics
NPI:1194724609
Name:MUNIS, ABDUL H (MD)
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:H
Last Name:MUNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 TOP RAIL LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-5740
Mailing Address - Country:US
Mailing Address - Phone:502-608-2644
Mailing Address - Fax:502-585-2831
Practice Address - Street 1:31 MELVILLE GLEN PL
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-4801
Practice Address - Country:US
Practice Address - Phone:502-608-2644
Practice Address - Fax:502-585-2831
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30852208M00000X
TXP3780208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200408620Medicaid
KY64308521Medicaid
KY64308521Medicaid
F92908Medicare UPIN
KY0707203Medicare ID - Type Unspecified