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NPI Code Detail

MEDICARE: MARINA KRYSTALLE MUNOZ

MEDICARE: MARINA KRYSTALLE MUNOZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist120323TX

General Provider Information

NPI Number : 1477438851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA KRYSTALLE MUNOZ
Provider Business Mailing Address
First Line : 11805 JACOB ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78410-6043
Country : US
Telephone Number : 361-695-7200
Fax Number :
Provider Business Practice Location Address
First Line : 801 LEOPARD ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78401-2421
Country : US
Telephone Number : 361-695-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2025
Last Update Date : 08/06/2025

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Directions to “ MARINA KRYSTALLE MUNOZ ” Practice Location

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