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NPI Code Detail

MEDICARE: ALLISON DENISE MONTOYA RDN, LD, MCN

MEDICARE: ALLISON DENISE MONTOYA RDN, LD, MCN
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
1133V00000XRegistered DietitianDT92499TX

General Provider Information

NPI Number : 1700750965
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DENISE MONTOYA RDN, LD, MCN
Provider Business Mailing Address
First Line : 12221 RENFERT WAY STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5657
Country : US
Telephone Number : 512-814-8255
Fax Number :
Provider Business Practice Location Address
First Line : 12221 RENFERT WAY STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5657
Country : US
Telephone Number : 512-814-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 10/01/2025

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