Individual
JOHNNY CLINTON MONTYA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
707 HIGHLANDER BLVD, ARLINGTON, TX 76015-4319
(817) 583-7100
(817) 583-7101
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
778979
TX
Other
Enumeration date
06/26/2019
Last updated
01/02/2020
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