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NPI Code Detail

MEDICARE: NORBERTO J C MONTANI & ASSOCIATES

MEDICARE: NORBERTO J C MONTANI & ASSOCIATES
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
1207R00000XInternal Medicine PhysicianD7640TX
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianD7640TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174759427
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORBERTO J C MONTANI & ASSOCIATES
Provider Business Mailing Address
First Line : 2455 ROBINSON RD
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-3852
Country : US
Telephone Number : 972-264-4421
Fax Number : 972-266-9063
Provider Business Practice Location Address
First Line : 2455 ROBINSON RD
Second Line : 100
City : GRAND PRAIRIE
State : TX
Zip : 75051-3852
Country : US
Telephone Number : 972-264-4221
Fax Number : 972-266-9063
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. KATHY SHERRILL
Credential :
Telephone Number : 972-264-4221
Provider Enumeration Date : 06/01/2009
Last Update Date : 06/01/2009

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Directions to “NORBERTO J C MONTANI & ASSOCIATES ” Practice Location

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