Individual
DR. MIGUEL A MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9907
(210) 292-6002
Mailing address
1116 CREEK CABIN, SAN ANTONIO, TX 78253-5835
(210) 652-9500
(210) 652-6615
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
006226
PR
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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