Individual
GILBERT MONTELONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209873-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172822202
—
TX
05
—
172822204
—
TX
05
—
172822208
—
TX
05
—
172822209
—
TX
01
—
86910U
BCBSTX
TX
Enumeration date
07/03/2006
Last updated
10/05/2011
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