MEDICARE: DR. MARIA CLAIRE MONGE MD

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
1	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	247291	MA
2	208000000X	Pediatrics Physician	247291	MA
3	207R00000X	Internal Medicine Physician	141902	NC
4	2080A0000X	Pediatric Adolescent Medicine Physician	P6469	TX
5	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	P6469	TX
6	207R00000X	Internal Medicine Physician	247291	MA

General Provider Information

NPI Number	:	1851567556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA CLAIRE MONGE MD

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 7866
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	512-256-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 BALCONES DR STE 7866
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	512-256-1519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	12/09/2025

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