MEDICARE: FRANCISCO J. MONTEMAYOR, M.D., P.A.

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
1	208000000X	Pediatrics Physician	J4365	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	127111605	OTHER	TX	TPI

General Provider Information

NPI Number	:	1689943052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCO J. MONTEMAYOR, M.D., P.A.

Provider Business Mailing Address
First Line	:	7254 BLANCO RD
Second Line	:	SUITE 104
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4990
Country	:	US
Telephone Number	:	210-342-3838
Fax Number	:

Provider Business Practice Location Address
First Line	:	7254 BLANCO RD
Second Line	:	SUITE 104
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4930
Country	:	US
Telephone Number	:	210-342-3838
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCISCO J MONTEMAYOR
Credential	:	M.D.
Telephone Number	:	210-342-3838

Provider Enumeration Date	:	12/14/2011
Last Update Date	:	12/14/2011

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