Individual
DR. MONTGOMERY VERONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 W 38TH ST, BUILDING F, AUSTIN, TX 78705-1121
(512) 458-6121
(512) 452-9171
Mailing address
711 W 38TH ST, BUILDING F, AUSTIN, TX 78705-1121
(512) 458-6121
(512) 452-9171
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01049395A
IN
2084N0400X
Neurology Physician
Primary
K0232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200187610A
—
IN
01
—
K0232
MD LICENSE
TX
Enumeration date
07/28/2005
Last updated
04/18/2023
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