Organization
WEST TEXAS NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE F MONTOYA JR. M.D. (CEO)
(325) 653-6773
Entity
Organization
Contact information
Practice address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 653-6773
(325) 653-3849
Mailing address
PO BOX 5780, SAN ANGELO, TX 76902-5780
(325) 653-6773
(325) 653-3849
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00KL07
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112858904
—
TX
01
—
CP4155
RAILROAD MEDICARE
TX
Enumeration date
06/17/2005
Last updated
06/25/2014
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