Provider Demographics
NPI:1699936476
Name:MUNOZ, MARTIN ASCENCION (DC)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ASCENCION
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-3763
Mailing Address - Country:US
Mailing Address - Phone:806-548-7247
Mailing Address - Fax:806-445-0278
Practice Address - Street 1:4909 34TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2308
Practice Address - Country:US
Practice Address - Phone:806-793-5770
Practice Address - Fax:806-793-5771
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1728111N00000X
TX11021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor