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General NPI Number Information
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NPI Number | 1104342104
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Entity Type | Organization
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Legal Business Name | MONTES MEDICAL, PLLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 11221 KATY FWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77079-2105
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Country | US
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Telephone | 713-661-4344
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Fax | 713-666-0605
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Provider Business Mailing Address
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Address Line | 11221 KATY FWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77079-2105
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Country | US
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Telephone | 713-661-4344
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Fax | 713-666-0605
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINET AJA
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Credential |
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Telephone | 713-661-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | H0649
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License Number State | TX
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