# PMA / AADHAR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023932522
- **Authorized official:** JEANNE MONTILLA BSN, RN (RN)
- **Authorized official phone:** (214) 249-9210

## Contact information

- **Practice address:** 6404 INTERNATIONAL PKWY STE 1010, PLANO, TX 75093-8346
- **Practice address phone:** (214) 249-9210
- **Practice address fax:** (214) 249-9210
- **Mailing address:** 6404 INTERNATIONAL PKWY STE 1010, PLANO, TX 75093-8346
- **Mailing address phone:** (214) 249-9210
- **Mailing address fax:** (214) 249-9210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2026
- **Last updated:** 08/06/2026