Organization
GUILLERMO L MONTANEZ, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO L MONTANEZ JR. M.D. (OWNER)
(956) 631-8354
Entity
Organization
Contact information
Practice address
1200 E SAVANNAH AVE STE 18, MCALLEN, TX 78503-1728
(956) 631-8354
Mailing address
PO BOX 2105, MCALLEN, TX 78505-2105
(956) 631-8354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H3711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071JA
BC/BS OF TEXAS
TX
05
—
135513309
—
TX
Enumeration date
08/12/2008
Last updated
08/12/2008
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