Provider Demographics
NPI:1215933650
Name:MONTES, JOSEPH A (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:MONTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11221 KATY FWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2105
Mailing Address - Country:US
Mailing Address - Phone:713-661-4344
Mailing Address - Fax:713-666-0605
Practice Address - Street 1:11221 KATY FWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2105
Practice Address - Country:US
Practice Address - Phone:713-661-4344
Practice Address - Fax:713-666-0605
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH0649207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC19483OtherUPIN
TX8CY627OtherBCBS OF TX
TXP01013982OtherMEDICARE RR
TX139180717Medicaid
TXP01013982OtherMEDICARE RR