Individual
JOSE I MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
5326 TRYON RD, LONGVIEW, TX 75605-6808
(903) 387-1267
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
863550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863550
—
TX
Enumeration date
01/02/2019
Last updated
01/02/2019
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