Healthcare Provider Details

I. General information

NPI: 1629572060
Provider Name (Legal Business Name): STEVEN KENT MONTALVO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W ROYAL LN
IRVING TX
75063-3213
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 469-513-5500
  • Fax:
Mailing address:
  • Phone: 972-997-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT5630
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberT5630
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: