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Provider Information for 1609971498


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Mr. ANTHONY PAUL MONTEZ MS, LPC


Sex: Male

NPI: 1609971498
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1609971498
Enumeration Date2006-09-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6262 WEBER RD.
SUITE 210
CORPUS CHRISTI, TX 78413-4031
United States

Phone: 361-991-2214 | Fax:361-225-3225
 
Primary Practice Address 6262 WEBER RD
SUITE 210
CORPUS CHRISTI, TX 78413-4006
United States

Phone: 361-991-2214 | Fax:361-225-3225
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX0276065-01
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthTX14233