# EUSEBIO M MONTEJO MD INC

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

## Provider details

- **NPI number:** 1174850218
- **Authorized official:** EUSEBIO M MONTEJO MD (PRESIDENT)
- **Authorized official phone:** (361) 668-9600

## Contact information

- **Practice address:** 315 E 5TH ST, ALICE, TX 78332-4605
- **Practice address phone:** (361) 668-9600
- **Mailing address:** PO BOX 3159, ALICE, TX 78333-3159
- **Mailing address phone:** (361) 668-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N3905 | TX | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 04/24/2010