Individual
DR. GLEN D MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
U0404
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
UO404
TX
208M00000X
Hospitalist Physician
Primary
U0404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
Enumeration date
06/17/2008
Last updated
04/11/2025
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