Healthcare Provider Details

I. General information

NPI: 1790914620
Provider Name (Legal Business Name): MICHELE GENE MUNOZ D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELE GENE BEAVERS DC

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 S COMMERCIAL ST
ARANSAS PASS TX
78336-1916
US

IV. Provider business mailing address

114 TROPICAL BREEZE LN
ARANSAS PASS TX
78336-4645
US

V. Phone/Fax

Practice location:
  • Phone: 361-758-6224
  • Fax:
Mailing address:
  • Phone: 720-600-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number22005
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7494
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number742
License Number StateWY
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11217
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number742
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: