Healthcare Provider Details

I. General information

NPI: 1831005818
Provider Name (Legal Business Name): ANTHONY MUNOZ TINOCO JR. RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SW GAGE BLVD
TOPEKA KS
66622-0001
US

IV. Provider business mailing address

4104 SW SHENANDOAH RD
TOPEKA KS
66610-1497
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-3111
  • Fax:
Mailing address:
  • Phone: 758-213-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number152203
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: