Individual
FAUSTO MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
810 GROVER AVE, LUBBOCK, TX 79416-4009
(806) 241-1266
Mailing address
810 GROVER AVE, LUBBOCK, TX 79416-4009
(806) 241-1266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735989
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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