Individual
MARIA THERESA MONTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-8767
(870) 541-8761
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-11043
AR
207Q00000X
Family Medicine Physician
E-11043
AR
208M00000X
Hospitalist Physician
Primary
E-11043
AR
Other
Enumeration date
05/16/2016
Last updated
07/10/2024
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