=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306050745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EVA JANINE MONTES PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2007
-----------------------------------------------------
Last Update Date | 07/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6500 N MOPAC BLDG 3, STE 200
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78731-3282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-458-8400
-----------------------------------------------------
Fax | 512-458-8593
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3200 RED RIVER ST STE 206
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-2661
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 122-560-1585
-----------------------------------------------------
Fax | 512-727-5970
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------