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General NPI Number Information
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NPI Number | 1528382470
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Entity Type | Organization
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Legal Business Name | MIGUEL MONTES-WALTERS MD PA
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 1401 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6640
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Country | US
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Telephone | 956-566-2008
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Fax | 956-971-8100
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Provider Business Mailing Address
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Address Line | 617 BLUEBIRD AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2771
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Country | US
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Telephone | 956-971-8100
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | MIGUEL MONTES-WALTERS
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Credential | M.D.
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Telephone | 956-566-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | L8443
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License Number State | TX
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