| Munoz Consulting Llc | |
|
4900 Medical Dr Bossier City LA 71112-4521 | |
| (318) 747-9500 | |
| Not Available |
| Full Name | Munoz Consulting Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4900 Medical Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Derek Munoz (MEMBER MANAGER) |
| Authorized Official Contact | 4097286583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munoz Consulting Llc Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-5449 | Munoz Consulting Llc 4900 Medical Dr Bossier City LA 71112-4521 Ph: (318) 747-9500 |
| NPI Number | 1164035770 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Medicare PECOS PAC ID | 0446661961 |
|---|---|
| Medicare Enrollment ID | O20201204000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164035770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Derek R Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063876068 PECOS PAC ID: 3577859628 Enrollment ID: I20190913000476 |
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