Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 20780 | TX |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 2147 | PR |
NPI | 1104987973 |
---|---|
Provider Name | Dr. Oscar Muniz JR. |
First Address | The Woodlands, TX 77380-3449 |
Second Address | The Woodlands, TX 77380-3449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 28/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0TH000 | (02) | PR |