Provider Demographics
NPI:1891183265
Name:CARMICHAEL, ARACELY MUNOZ
Entity Type:Individual
Prefix:
First Name:ARACELY
Middle Name:MUNOZ
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 S HUGHES ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2649
Mailing Address - Country:US
Mailing Address - Phone:806-672-5762
Mailing Address - Fax:
Practice Address - Street 1:1702 S HUGHES ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2649
Practice Address - Country:US
Practice Address - Phone:806-672-5762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8608657390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program