Organization
THOMAS J. MONTGOMERY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH MONTGOMERY M.D. (OWNER)
(337) 235-2264
Entity
Organization
Contact information
Practice address
449 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 235-2264
(337) 232-4426
Mailing address
449 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 235-2264
(337) 232-4426
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
020154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449121
—
LA
Enumeration date
08/05/2007
Last updated
05/21/2008
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