Gerardo Ezequiel Munoz
Student in an Organized Health Care Education/Training Program in Spearman, TX. Individual provider (NPI-1).
NPI number1255059622
StatusActive
Last updated in NPPESAug 22, 2022
Details
- NPI
- 1255059622
- Entity type
- Individual (NPI-1)
- Name
- Gerardo Ezequiel Munoz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2022
- Certification date
- Aug 19, 2022
- Last updated
- Aug 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
621 S Endicott StSpearman, TX 79081-3235
Phone 806-270-0934
Mailing address
621 S Endicott StSpearman, TX 79081-3235
Phone 806-270-0934
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