Provider Demographics
NPI:1366029373
Name:MUNOZ, KAROS NICOLE (DO)
Entity type:Individual
Prefix:
First Name:KAROS
Middle Name:NICOLE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19707 W INTERSTATE 10 STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1748
Mailing Address - Country:US
Mailing Address - Phone:210-946-3100
Mailing Address - Fax:210-946-3100
Practice Address - Street 1:19707 W INTERSTATE 10 STE 213
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1748
Practice Address - Country:US
Practice Address - Phone:210-946-3100
Practice Address - Fax:210-946-3100
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU9376207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program