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NPI Code Detail

MEDICARE: MARIA CONCEPCION MONTENEGRO RPH

MEDICARE: MARIA CONCEPCION MONTENEGRO RPH
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
1183500000XPharmacist35723TX

General Provider Information

NPI Number : 1750665527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CONCEPCION MONTENEGRO RPH
Provider Business Mailing Address
First Line : 1831 N LEE TREVINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-4107
Country : US
Telephone Number : 915-594-1129
Fax Number : 915-593-6722
Provider Business Practice Location Address
First Line : 1831 N LEE TREVINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-4107
Country : US
Telephone Number : 915-594-1129
Fax Number : 915-593-6722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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Directions to “ MARIA CONCEPCION MONTENEGRO RPH” Practice Location

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