Individual
DR. NICOLE IRENE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
1709 DRYDEN RD # 5.70, HOUSTON, TX 77030-2400
(713) 798-0190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10037400
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
R1992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550301
PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
06/04/2010
Last updated
10/08/2024
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