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Individual

MR. JORGE RICARDO MONTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED PROFESSIONA

Contact information

Practice address
11450 ROJAS DR, SUITE D13-14, SPACE 20, EL PASO, TX 79936-6992
(915) 355-7958
(915) 533-0105
Mailing address
PO BOX 71033, EL PASO, TX 79917-1033
(915) 355-7958
(915) 533-0105

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14642
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113112001
TX
Enumeration date
02/21/2007
Last updated
10/28/2011
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