Individual
MARTIN J MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 SILVERLEAF ST, BEAUMONT, TX 77707-3637
(409) 455-1071
Mailing address
7950 SILVERLEAF ST, BEAUMONT, TX 77707-3637
(409) 455-1071
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
M7456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649476656
SCOTT & WHITE HEALTH PLAN
TX
05
—
192638801
—
TX
01
—
8AN221
BCBS TX
TX
01
—
P00471680
RR MEDICARE
TX
Enumeration date
06/26/2007
Last updated
06/13/2013
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