Healthcare Provider Details

I. General information

NPI: 1306050745
Provider Name (Legal Business Name): EVA JANINE MONTES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 N MOPAC BLDG 3, STE 200
AUSTIN TX
78731-3282
US

IV. Provider business mailing address

3200 RED RIVER ST STE 206
AUSTIN TX
78705-2661
US

V. Phone/Fax

Practice location:
  • Phone: 512-458-8400
  • Fax: 512-458-8593
Mailing address:
  • Phone: 122-560-1585
  • Fax: 512-727-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: