Individual
DR. DONALD WAYNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3520 FANNIN ST, SUITE #1, BEAUMONT, TX 77701-3813
(409) 832-5956
(409) 832-2671
Mailing address
3520 FANNIN ST, SUITE #1, BEAUMONT, TX 77701-3813
(409) 832-5956
(409) 832-2671
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092759201
—
TX
Enumeration date
10/02/2006
Last updated
04/23/2008
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