1164734653 NPI number — MRS. STEPHANIE A MONTERO O.T.R.

Table of content: MRS. STEPHANIE A MONTERO O.T.R. (NPI 1164734653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164734653 NPI number — MRS. STEPHANIE A MONTERO O.T.R.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MONTERO
Provider First Name:
STEPHANIE
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
O.T.R.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164734653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4441 VALLEY WILLOW WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79922-1855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-873-1648
Provider Business Mailing Address Fax Number:
877-587-9452

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1510 N ZARAGOZA RD STE A12
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79936-7893
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-873-1648
Provider Business Practice Location Address Fax Number:
877-587-9452
Provider Enumeration Date:
07/13/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  107303 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 149984001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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