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NPI Code Detail

MEDICARE: DR. ROMULO MONTENEGRO PT, DPT

MEDICARE:  DR. ROMULO  MONTENEGRO  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1339683TX

General Provider Information

NPI Number : 1063904670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROMULO MONTENEGRO PT, DPT
Provider Business Mailing Address
First Line : 6746 TEZEL OAKS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-4139
Country : US
Telephone Number : 210-413-5341
Fax Number :
Provider Business Practice Location Address
First Line : 6746 TEZEL OAKS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-4139
Country : US
Telephone Number : 210-413-5341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 11/05/2020

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Directions to “ DR. ROMULO MONTENEGRO PT, DPT” Practice Location

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