MEDICARE: ALLISON MONTALBANO PA

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	363A00000X	Physician Assistant	PA14829	TX

General Provider Information

NPI Number	:	1720751415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MONTALBANO PA

Provider Business Mailing Address
First Line	:	17520 W GRAND PKWY S STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4759
Country	:	US
Telephone Number	:	281-239-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	17520 W GRAND PKWY S STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4759
Country	:	US
Telephone Number	:	281-239-3777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	06/08/2026

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Directions to “ ALLISON MONTALBANO PA” Practice Location

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