Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | K1266 | TX |
N | 2081P2900X | Pain Medicine | K1266 | TX |
N | 2081S0010X | Sports Medicine | K1266 | TX |
N | 213ES0000X | Sports Medicine | K1266 | TX |
NPI | 1043261688 |
---|---|
Provider Name | Daniel L Munton |
First Address | Abilene, TX 79606-8746 |
Second Address | Abilene, TX 79606-8746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 22/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120045101 | FIRSCARE (01) | TX |
1723395 | FIRST HEALTH (01) | TX |
4200747 | BLUE LINK (01) | TX |
8V4080 | BCBS (01) | TX |
H00747 | (02) | TX |
P00324069 | MEDICARE RAILROAD (01) | TX |