Individual
MARIA MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 MEAD DR, PLANO, TX 75024-5427
(972) 265-9067
Mailing address
4208 MEAD DR, PLANO, TX 75024-5427
(972) 265-9067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
TX
Enumeration date
09/25/2017
Last updated
07/21/2022
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