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Individual

BETH C MONTIGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4001 LONG PRAIRIE RD, STE 140, FLOWER MOUND, TX 75028-1525
(972) 691-2388
(972) 691-2766
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7347
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
05
036860702
TX
05
140442827
UT
05
140442867
TX
01
1750369203
GRP NPI NUMBER
01
1894758
UHC PIN
TX
01
214966
FIRSTHEALTH PIN
TX
01
3138743
CIGNA PIN
TX
01
5943758
AETNA PIN
TX
01
8K4010
BCBSTX IND PIN
TX
01
MONB167468
CCHIP PIN
TX
Enumeration date
10/17/2006
Last updated
04/18/2016
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