Provider Demographics
NPI:1669361390
Name:PONCE MUNOZ, PRISCILLA EDLYN (DC)
Entity type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:EDLYN
Last Name:PONCE MUNOZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 GRAND GATE WAY APT 2404
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0191
Mailing Address - Country:US
Mailing Address - Phone:432-202-1820
Mailing Address - Fax:
Practice Address - Street 1:7515 GREENVILLE AVE STE 801
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3846
Practice Address - Country:US
Practice Address - Phone:214-368-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor