Individual
GUILLERMO MONTALBAN BRAVO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
46000
TX
207RH0003X
Hematology & Oncology Physician
Primary
U7475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382460901
—
TX
01
—
382460902
CSHCN TPI
TX
Enumeration date
03/02/2018
Last updated
06/25/2025
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