Provider Demographics
NPI:1588693782
Name:DANIEL L. MUNTON, MD PA
Entity type:Organization
Organization Name:DANIEL L. MUNTON, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LACY
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-698-4545
Mailing Address - Street 1:4351 RIDGEMONT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8746
Mailing Address - Country:US
Mailing Address - Phone:325-698-4545
Mailing Address - Fax:325-698-4547
Practice Address - Street 1:4351 RIDGEMONT DR
Practice Address - Street 2:SUITE A
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8746
Practice Address - Country:US
Practice Address - Phone:325-698-4545
Practice Address - Fax:325-698-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK12662081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W643Medicare PIN
TXH00747Medicare UPIN