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Individual

DEBRA M MUNCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
(713) 359-1004
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H6456
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135324510
TX
01
1609856848
TRICARE SOUTH
TX
01
88477Z
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/21/2006
Last updated
11/24/2010
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