Organization
M M ONTIVEROS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MATHIS (OFFICE MANAGER)
(210) 525-1668
Entity
Organization
Contact information
Practice address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Mailing address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149380101
—
TX
Enumeration date
09/06/2007
Last updated
05/01/2008
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