Individual
AIMEE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 GRANBURY RD, FORT WORTH, TX 76133-5912
(817) 346-1925
(817) 292-7237
Mailing address
7001 GRANBURY RD, FORT WORTH, TX 76133-5912
(817) 346-1925
(817) 292-7237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332534201
—
TX
Enumeration date
12/03/2013
Last updated
02/28/2017
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