Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN T MUNIZ, PAC
Active Sole ProprietorBRIAN T MUNIZ, PAC is a Physician Assistant healthcare provider located in SANTA ROSA, New Mexico. NPI 1447760368 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SANTA ROSA, NM
Registration Details
- NPI Number
- 1447760368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2017 (8.8173941795421 yrs)
- Last Updated
- Oct 5, 2017
- License
-
PA2017-0082 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 CAMINO DE VIDA STE 300SANTA ROSA, NM, 884352267Browse NM providers · Browse ZIP 88435
- Phone
- 5754724311
- Fax
- 5754724313
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SANTA ROSA, NM
| Name | Credential | NPI |
|---|---|---|
| DAWN R BACK | PA | 1841273554 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.