Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 28121 | TX |
Y | 213EG0000X | General Practice | 28121 | TX |
NPI | 1003162322 |
---|---|
Provider Name | Dr. Christine Amanda Muns |
First Address | Dallas, TX 75219-5409 |
Second Address | Addison, TX 75001-6231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2012 |
Last Update Date | 16/12/2012 |