Provider Demographics
NPI:1962989129
Name:MONTOYA SURGICAL SERVICES
Entity type:Organization
Organization Name:MONTOYA SURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE FIRST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:505-659-1762
Mailing Address - Street 1:2502 WESTERLAND DR APT 362
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2217
Mailing Address - Country:US
Mailing Address - Phone:505-659-1762
Mailing Address - Fax:
Practice Address - Street 1:2502 WESTERLAND DR APT 362
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2217
Practice Address - Country:US
Practice Address - Phone:505-659-1762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty