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Individual

MR. NORBERTO J C MONTANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 N CARRIER PKWY, STE 109, GRAND PRAIRIE, TX 75050
(972) 264-4221
(972) 266-9063
Mailing address
200 N CARRIER PKWY, STE 109, GRAND PRAIRIE, TX 75050
(972) 264-4221
(972) 266-9063

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D7640
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122994001
TX
Enumeration date
06/21/2006
Last updated
07/08/2014
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