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NPI Code Detail

MEDICARE: ANDREA MONTES PMHNP

MEDICARE:   ANDREA  MONTES  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1214029TX

General Provider Information

NPI Number : 1801763081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MONTES PMHNP
Provider Business Mailing Address
First Line : 1507 LYNDON B JOHNSON FWY STE 750
Second Line :
City : DALLAS
State : TX
Zip : 75234-6088
Country : US
Telephone Number : 817-527-8621
Fax Number : 972-930-1592
Provider Business Practice Location Address
First Line : 1507 LYNDON B JOHNSON FWY STE 750
Second Line :
City : DALLAS
State : TX
Zip : 75234-6088
Country : US
Telephone Number : 817-527-8621
Fax Number : 972-930-1592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 03/04/2026

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