Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 11217 | TX |
N | 111N00000X | Chiropractor | 742 | WY |
N | 111NX0100X | Occupational Health | 742 | WY |
NPI | 1790914620 |
---|---|
Provider Name | Dr. Michele Gene Munoz |
First Address | The Colony, TX 75056-7339 |
Second Address | Plano, TX 75093-8185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 21/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11217 | TEXAS BOARD OF CHIROPRACTIC (01) | TX |
11995440 | (02) | WY |
W25974 | (02) | WY |