Individual
KRISTOPHER GEORGE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1216 HILLCREST DR, SHERMAN, TX 75092-5507
(903) 893-7457
(903) 893-6671
Mailing address
1216 HILLCREST DR, SHERMAN, TX 75092-5507
(903) 893-7457
(903) 893-6671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
108869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152780601
—
TX
01
—
8T2597
BCBS
TX
Enumeration date
06/16/2006
Last updated
05/02/2008
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