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Individual
NIVIA MONTES
Active
Individual
NIVIA MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181603501
—
TX
01
—
8N8436
BLUE CROSS BLUE SHIELD
TX
01
—
P00276174
RR MEDICARE
TX
Enumeration date
10/12/2006
Last updated
09/27/2011
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