Provider Demographics
NPI:1891771572
Name:MUNOZ, PAUL M (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1624 N LEE TREVINO DR
Mailing Address - Street 2:STE.B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5100
Mailing Address - Country:US
Mailing Address - Phone:915-598-2225
Mailing Address - Fax:915-598-5203
Practice Address - Street 1:1624 LEE TREVINO
Practice Address - Street 2:STE. B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2098
Practice Address - Country:US
Practice Address - Phone:915-598-2225
Practice Address - Fax:915-598-5203
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D1948Medicare ID - Type UnspecifiedCHIROPRACTIC