Individual
ROBERTO MONTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 N RAUL LONGORIA RD STE I, SAN JUAN, TX 78589-3721
(956) 782-5800
(956) 782-5802
Mailing address
1205 N RAUL LONGORIA RD STE I, SAN JUAN, TX 78589-3721
(956) 782-5800
(956) 782-5802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210878
TEXAS LICENSE
TX
Enumeration date
09/05/2017
Last updated
07/21/2022
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