Provider Demographics
NPI:1538274824
Name:MUNOZ, OSCAR C (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:C
Last Name:MUNOZ
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 1:11551 CEDAR OAK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6028
Mailing Address - Country:US
Mailing Address - Phone:915-592-8300
Mailing Address - Fax:915-592-8310
Practice Address - Street 1:11551 CEDAR OAK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6028
Practice Address - Country:US
Practice Address - Phone:915-592-8300
Practice Address - Fax:915-592-8310
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4587207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165289301Medicaid
610321Medicare ID - Type Unspecified
TX165289301Medicaid