Provider Demographics
NPI:1194960708
Name:ADC INC
Entity type:Organization
Organization Name:ADC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:325-656-6773
Mailing Address - Street 1:7573 EL CAMINO GRANDE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-4720
Mailing Address - Country:US
Mailing Address - Phone:325-656-6773
Mailing Address - Fax:
Practice Address - Street 1:7573 EL CAMINO GRANDE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-4720
Practice Address - Country:US
Practice Address - Phone:325-656-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7202207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty