Montgomery, Baxter D
Montgomery, Baxter D is an individual health care provider with primary practice located at 10480 Main St , Houston TX 77025-5500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Montgomery, Baxter D can be contacted via phone (713) 599-1144.Contact Information
Primary practice address
10480 Main St
Houston TX 77025-5500
Phone: (713) 599-1144
Fax: (713) 599-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | H9549 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | H9549 | Texas |
Profile Details
| NPI number | 1295728293 |
|---|---|
| LBN Legal business name | Montgomery, Baxter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 6th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295728293 | NPPES |
| Texas | MEDICAID | 081027701 | |
| Texas | MEDICAID | 132190301 | |
| Texas | Other | 5034595 | |
| Texas | Other | 85680F | |
| Texas | Other | 10018324 |
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