Individual
ROBERT C. MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-4841
(903) 606-1201
Mailing address
400 HIGHLAND DR, SEATTLE, WA 98109-3326
(312) 375-2167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036112106
IL
207P00000X
Emergency Medicine Physician
M-2027
GU
207P00000X
Emergency Medicine Physician
MD00046731
WA
207P00000X
Emergency Medicine Physician
Primary
R2927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02503065
MEDICARE RAILROAD
TX
Enumeration date
07/19/2006
Last updated
01/11/2021
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