Individual
MARINEL M MUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E 5TH ST, TYLER, TX 75701-3315
(903) 590-5555
(903) 590-5005
Mailing address
1000 E 5TH ST, TYLER, TX 75701-3346
(903) 596-3588
(903) 594-2038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L5505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155536903
—
TX
Enumeration date
06/24/2006
Last updated
02/03/2016
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