Individual
JUAN DAVID MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 MEADOW SCAPE, CONVERSE, TX 78109-1654
(954) 802-8095
Mailing address
210 N CHURCH ST UNIT 1314, CHARLOTTE, NC 28202-2266
(954) 802-8095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-01507
NC
207P00000X
Emergency Medicine Physician
R6023
TX
Other
Enumeration date
06/03/2013
Last updated
11/08/2018
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