Organization
ROBERTO MONTOYA M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MONTOYA MD (PHYSICIAN)
(713) 907-4456
Entity
Organization
Contact information
Practice address
1810 NANTUCKET DR, HOUSTON, TX 77057-2912
(713) 907-4456
(281) 833-3323
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(713) 907-4456
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E4905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AB79
BLUE CROSS BLUE SHIELD
TX
05
—
031816401
—
TX
01
—
10043543
AMERIGROUP
TX
01
—
401073
AETNA
TX
Enumeration date
12/23/2009
Last updated
02/19/2013
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