Basic Information
Provider Information
NPI: 1659715993
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUNIS
FirstName: AUN
MiddleName: ALI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4606 CEDAR SPRINGS RD
Address2: APT. 1722
City: DALLAS
State: TX
PostalCode: 752191299
CountryCode: US
TelephoneNumber: 5026082169
FaxNumber:  
Practice Location
Address1: 3600 GASTON AVE
Address2: WADLEY SUITE 550
City: DALLAS
State: TX
PostalCode: 752461800
CountryCode: US
TelephoneNumber: 4698007969
FaxNumber: 2148211193
Other Information
ProviderEnumerationDate: 04/17/2013
LastUpdateDate: 04/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XQ5501TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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