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Individual
GUILLERMO MONTALBAN BRAVO SR.
Active
Individual
GUILLERMO MONTALBAN BRAVO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
46000
TX
207RH0003X
Hematology & Oncology Physician
Primary
U7475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382460901
—
TX
01
—
382460902
CSHCN TPI
TX
Enumeration date
03/02/2018
Last updated
06/25/2025
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