Individual
STACY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
22034 COUNTY ROAD 2166, TROUP, TX 75789-6900
(903) 780-9587
(888) 501-1092
Mailing address
22034 COUNTY ROAD 2166, TROUP, TX 75789-6900
(903) 780-9587
(888) 501-1092
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
04/04/2018
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