Montgomery, Donald Wayne

Montgomery, Donald Wayne is an individual health care provider with primary practice located at 3520 Fannin St Suite #1, Beaumont TX 77701-3813. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Montgomery, Donald Wayne can be contacted via phone (409) 832-5956.

Contact Information

Primary practice address
3520 Fannin St Suite #1 Beaumont TX 77701-3813
Phone: (409) 832-5956
Fax: (409) 832-2671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0869 Texas

Profile Details

NPI number 1144313156
LBN Legal business name Montgomery, Donald Wayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 23rd, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144313156 NPPES
Texas MEDICAID 092759201

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