Provider Demographics
NPI:1306848585
Name:MUNOZ, RICARDO VI (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:MUNOZ
Suffix:VI
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 OAK CENTRE DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3916
Mailing Address - Country:US
Mailing Address - Phone:210-402-6022
Mailing Address - Fax:210-402-2930
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:STE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3916
Practice Address - Country:US
Practice Address - Phone:210-402-6022
Practice Address - Fax:210-402-2930
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG2193207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127851703Medicaid
TX127851703Medicaid
TXE77018Medicare UPIN