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Individual
DR. TRE MONTIGUE
Active
Individual
DR. TRE MONTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K7348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040154904
—
TX
05
—
040154905
—
TX
05
—
040154906
—
TX
01
—
040154907
MEDICAID CSHCN
TX
05
—
040154908
—
TX
01
—
8EH615
BCBS TX
TX
01
—
8G2122
BCBS
TX
Enumeration date
12/21/2005
Last updated
11/02/2015
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