Provider Demographics
NPI:1164939435
Name:MUNOZ, PAULINE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 TIGRIS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7650
Mailing Address - Country:US
Mailing Address - Phone:602-315-3370
Mailing Address - Fax:
Practice Address - Street 1:525 WOODLAND SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-2211
Practice Address - Country:US
Practice Address - Phone:832-371-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist