Provider Demographics
NPI:1831677129
Name:MUNOZ, ANNETTE C (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:C
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9258 CULEBRA ROAD
Mailing Address - Street 2:SUITE 140-9
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251
Mailing Address - Country:US
Mailing Address - Phone:210-773-1058
Mailing Address - Fax:210-598-1910
Practice Address - Street 1:9258 CULEBRA ROAD
Practice Address - Street 2:SUITE 140-9
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-773-1058
Practice Address - Fax:210-598-1910
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74692101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health