Healthcare Provider Details

I. General information

NPI: 1255254223
Provider Name (Legal Business Name): MONTSERRAT CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 REMOND DR
DALLAS TX
75211-1619
US

IV. Provider business mailing address

7354 DAINGERFIELD DR
DALLAS TX
75227-9307
US

V. Phone/Fax

Practice location:
  • Phone: 214-331-0109
  • Fax:
Mailing address:
  • Phone: 214-642-2518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number126750
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: