Individual
ABELARDO MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-4600
(915) 545-7338
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124784302
—
TX
01
—
7969031
AETNA
TX
01
—
86N191
BCBS
TX
01
—
K0133310
DPS NUMBER
TX
01
—
PA01891
LICENSE NUMBER
TX
Enumeration date
10/17/2005
Last updated
03/07/2023
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