Individual
DR. MARTHA M. MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6621 MAIN ST., HOUSTON, TX 77030
(328) 824-7237
(832) 825-0160
Mailing address
6621 MAIN ST., HOUSTON, TX 77030-1461
(832) 824-7237
(832) 825-0160
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
47682
TX
2085P0229X
Pediatric Radiology Physician
Primary
J9229
TX
2085R0202X
Diagnostic Radiology Physician
14458
SC
2085R0202X
Diagnostic Radiology Physician
2016-02523
NC
2085R0202X
Diagnostic Radiology Physician
J9229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118309702
—
TX
05
—
118309705
—
TX
Enumeration date
10/27/2005
Last updated
09/30/2024
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