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NPI Code Detail

MEDICARE: MARIBEL MONTANO

MEDICARE:   MARIBEL  MONTANO
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
1363LF0000XFamily Nurse PractitionerAP134657TX

General Provider Information

NPI Number : 1821500497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIBEL MONTANO
Provider Business Mailing Address
First Line : 122 W JOHN CARPENTER FWY STE 420
Second Line :
City : IRVING
State : TX
Zip : 75039-2014
Country : US
Telephone Number : 972-957-3000
Fax Number :
Provider Business Practice Location Address
First Line : 5402 AIRLINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77076-4902
Country : US
Telephone Number : 713-239-1572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2017
Last Update Date : 12/28/2020

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Directions to “ MARIBEL MONTANO ” Practice Location

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