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NPI Code Detail

MEDICARE: MARIA MONTEMAYOR

MEDICARE:   MARIA  MONTEMAYOR
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
1171W00000XContractor
2172V00000XCommunity Health Worker
3171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588173264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MONTEMAYOR
Provider Business Mailing Address
First Line : 4208 MEAD DR
Second Line :
City : PLANO
State : TX
Zip : 75024-5427
Country : US
Telephone Number : 972-265-9067
Fax Number :
Provider Business Practice Location Address
First Line : 4208 MEAD DR
Second Line :
City : PLANO
State : TX
Zip : 75024-5427
Country : US
Telephone Number : 972-265-9067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2017
Last Update Date : 07/21/2022

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Directions to “ MARIA MONTEMAYOR ” Practice Location

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