MEDICARE: MICHAEL MONTES LMSW

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	104100000X	Social Worker	113648	TX

General Provider Information

NPI Number	:	1912450222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MONTES LMSW

Provider Business Mailing Address
First Line	:	201 E MAIN DR STE 600
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1385
Country	:	US
Telephone Number	:	915-242-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	10737 GATEWAY BLVD W STE 250
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4912
Country	:	US
Telephone Number	:	915-479-5815
Fax Number	:

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

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	08/13/2024

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