Provider Demographics
NPI:1215104898
Name:MONTILLA, ROMULO ESTEBAN (PH D)
Entity type:Individual
Prefix:DR
First Name:ROMULO
Middle Name:ESTEBAN
Last Name:MONTILLA
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 EWING HALSELL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3715
Mailing Address - Country:US
Mailing Address - Phone:210-616-0885
Mailing Address - Fax:210-614-5633
Practice Address - Street 1:8310 EWING HALSELL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3715
Practice Address - Country:US
Practice Address - Phone:210-616-0885
Practice Address - Fax:210-614-5633
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional