Individual
RANDY JOE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4825 CAMP BOWIE BLVD, FORT WORTH, TX 76107-4150
(817) 336-2010
(817) 377-0074
Mailing address
4825 CAMP BOWIE BLVD, FORT WORTH, TX 76107-4150
(817) 336-2010
(817) 377-0074
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H1000
TX
Other
Enumeration date
03/31/2006
Last updated
03/18/2009
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