Provider Demographics
NPI:1902568710
Name:MUNOZ, ANNA MARIE (OTC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:OTC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2103 RAINTREE PATH
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7711
Mailing Address - Country:US
Mailing Address - Phone:512-450-1300
Mailing Address - Fax:512-450-1339
Practice Address - Street 1:900 W 38TH ST STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1130
Practice Address - Country:US
Practice Address - Phone:512-450-1300
Practice Address - Fax:512-450-1339
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21-0604246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant