Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | F7849 | TX |
N | 207Q00000X | Family Doctor | F7849 | TX |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | F7849 | TX |
NPI | 1326114976 |
---|---|
Provider Name | Dr. Pedro S Montano |
First Address | Mcallen, TX 78501-5059 |
Second Address | Mcallen, TX 78501-4214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 02/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00EY77 | MEDICARE PTAN (01) | TX |
040001655 | RAILROAD MEDICARE (01) | TX |
120648405 | (05) | TX |
120648406 | (05) | TX |
120648408 | (05) | TX |
D67015 | (02) | TX |