Individual
AUSTIN MILES MONTONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15655 CYPRESS WOOD MEDICAL DR STE 100, HOUSTON, TX 77014-1487
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359981301
—
TX
Enumeration date
01/18/2006
Last updated
06/11/2021
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