Individual
PETER P. MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 SETON PKWY, SUITE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1000
(512) 324-3440
(512) 406-6513
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Q8962
TX
207RI0011X
Interventional Cardiology Physician
Primary
Q8962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361468701
—
TX
05
—
361468702
—
TX
01
—
8GA895
BCBS
TX
Enumeration date
06/09/2007
Last updated
11/15/2016
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