Organization
WILLIAM K MONTGOMERY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ROTH (OPERATIONS)
(972) 250-5700
Entity
Organization
Contact information
Practice address
5228 W PLANO PKWY, PLANO, TX 75093-5005
(972) 250-5700
Mailing address
PO BOX 25887, OKLAHOMA CITY, OK 73125-0887
(972) 250-5700
(972) 250-5747
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040PM
BCBS
TX
01
—
H6447
STATE UPIN
TX
Enumeration date
02/21/2007
Last updated
02/18/2008
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