Provider Demographics
NPI:1679452049
Name:MUNGUIA, YURY CAMARENA (PHD)
Entity type:Individual
Prefix:DR
First Name:YURY
Middle Name:CAMARENA
Last Name:MUNGUIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14305 EARLY MORN AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5125
Mailing Address - Country:US
Mailing Address - Phone:682-521-9988
Mailing Address - Fax:
Practice Address - Street 1:2629 E YANDELL DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3724
Practice Address - Country:US
Practice Address - Phone:915-233-7145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40853103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist